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General NPI Number Information
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NPI Number | 1669420428
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Entity Type | Individual
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Provider Name | JOHN H YORK D.O.
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Gender | Male
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Dates
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Enumeration Date | 05/04/2006
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Last Update Date | 11/12/2021
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Provider Practice Location Address
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Address Line | 516 E NIZHONI BLVD
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City | GALLUP
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State | NM
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Zip | 87301
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Country | US
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Telephone | 505-722-1000
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Fax | 505-722-1771
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Provider Business Mailing Address
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Address Line | 1901 RED ROCK DR
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City | GALLUP
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State | NM
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Zip | 87301-5683
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Country | US
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Telephone | 505-863-7000
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Fax |
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 3893
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 0102202199
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | 3893
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number | 0102202199
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License Number State | VA
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