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General NPI Number Information
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NPI Number | 1679111033
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Entity Type | Organization
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Legal Business Name | JOHN M. YANKEE D.D.S. P.L.L.C.
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Dates
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Enumeration Date | 12/17/2019
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Last Update Date | 02/20/2022
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Provider Practice Location Address
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Address Line | 601 SE 117TH AVE STE 230
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City | VANCOUVER
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State | WA
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Zip | 98683-5297
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Country | US
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Telephone | 360-892-1170
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Fax |
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Provider Business Mailing Address
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Address Line | 601 SE 117TH AVE STE 230
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City | VANCOUVER
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State | WA
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Zip | 98683-5297
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Country | US
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Telephone | 360-892-1170
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | JOHN M YANKEE
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Credential | DDS
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Telephone | 360-857-8314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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