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General NPI Number Information
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NPI Number | 1679319073
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Entity Type | Organization
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Legal Business Name | YUHAS NUTRITION, PLLC
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Dates
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Enumeration Date | 07/04/2024
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Last Update Date | 07/04/2024
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Provider Practice Location Address
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Address Line | 6846 BUCKLEY RD
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City | NORTH SYRACUSE
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State | NY
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Zip | 13212-4275
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Country | US
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Telephone | 315-410-6400
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Fax | 315-410-6410
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Provider Business Mailing Address
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Address Line | 111 CRAIG CIR
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City | SYRACUSE
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State | NY
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Zip | 13214-1825
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Country | US
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Telephone | 814-270-1752
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JONATHAN M YUHAS
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Credential | MS, RDN, CND
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Telephone | 814-270-1752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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