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General NPI Number Information
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NPI Number | 1588673677
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Entity Type | Individual
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Provider Name | JOHN ANDREW YODER O.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2006
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Last Update Date | 02/11/2022
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Provider Practice Location Address
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Address Line | 9220 NE BARRY RD
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City | KANSAS CITY
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State | MO
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Zip | 64157-1209
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Country | US
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Telephone | 816-781-1061
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Fax | 816-781-1389
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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 | 816-781-1389
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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 | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1778
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 1132
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License Number State | NE
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Taxonomy #3
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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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