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General NPI Number Information
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NPI Number | 1568434819
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Entity Type | Individual
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Provider Name | JOHN M YALAM M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 9755 N 90TH ST SUITE A205
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City | SCOTTSDALE
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State | AZ
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Zip | 85258-5046
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Country | US
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Telephone | 480-614-2215
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Fax | 480-614-2218
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Provider Business Mailing Address
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Address Line | 3020 E CAMELBACK RD SUITE 301
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City | PHOENIX
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State | AZ
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Zip | 85014-5095
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Country | US
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Telephone | 602-264-9100
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Fax | 602-264-9101
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0100X
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Taxonomy Name | Gastroenterology Physician
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License Number | 24488
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License Number State | AZ
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