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General NPI Number Information
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NPI Number | 1558370627
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Entity Type | Organization
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Legal Business Name | JOHN A. YODER, O.D., P.C.
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Dates
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Enumeration Date | 08/06/2006
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Last Update Date | 08/29/2007
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Provider Practice Location Address
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Address Line | 7930 N FOREST AVE
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City | KANSAS CITY
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State | MO
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Zip | 64118-1524
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Country | US
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Telephone | 816-651-6077
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Fax | 816-214-8662
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Provider Business Mailing Address
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Address Line | 7930 N FOREST AVE
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City | KANSAS CITY
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State | MO
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Zip | 64118-1524
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Country | US
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Telephone | 816-651-6077
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Fax | 816-214-8662
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOHN ANDREW YODER
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Credential | O.D.
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Telephone | 816-651-6077
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 2005022668
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License Number State | MO
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