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General NPI Number Information
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NPI Number | 1639234800
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Entity Type | Organization
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Legal Business Name | YVES GEORGES DUBOIS M .D .OFFICE
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 04/10/2008
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Provider Practice Location Address
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Address Line | 5603 WESTFIELD AVE
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1836
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Country | US
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Telephone | 856-665-1045
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Fax | 856-665-1046
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Provider Business Mailing Address
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Address Line | 5603 WESTFIELD AVE
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City | PENNSAUKEN
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State | NJ
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Zip | 08110-1836
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Country | US
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Telephone | 856-665-1045
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Fax | 856-665-1046
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Authorized Official
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Title or Position | OFFICE OWNER
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Name | DR. YVES GEORGES DUBOIS
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Credential | M.D.
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Telephone | 856-665-1045
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 25MA06610200
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License Number State | NJ
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