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General NPI Number Information
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NPI Number | 1629628672
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Entity Type | Organization
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Legal Business Name | YANCEY PAIN & SPINE, LLLP
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Dates
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Enumeration Date | 09/11/2019
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Last Update Date | 01/05/2020
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Provider Practice Location Address
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Address Line | 9200 PINECROFT DR STE 330
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City | SHENANDOAH
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State | TX
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Zip | 77380-3279
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Country | US
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Telephone | 346-351-2948
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Fax |
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Provider Business Mailing Address
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Address Line | 28803 DOBBIN HUFFSMITH RD
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City | MAGNOLIA
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State | TX
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Zip | 77354-6474
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Country | US
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Telephone | 870-219-6941
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. WILLIAM YANCEY
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Credential | MD
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Telephone | 870-219-6941
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number |
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License Number State |
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