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General NPI Number Information
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NPI Number | 1699723304
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Entity Type | Individual
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Provider Name | JOSEPH E. YANKEE 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 | 07/26/2011
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Provider Practice Location Address
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Address Line | 6564 SE LAKE ROAD SUITE 100
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City | MILWAUKIE
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State | OR
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Zip | 97222-2238
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Country | US
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Telephone | 503-652-1456
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Fax | 503-652-1456
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Provider Business Mailing Address
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Address Line | 6564 SE LAKE ROAD SUITE 100
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City | MILWAUKIE
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State | OR
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Zip | 97222-2238
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Country | US
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Telephone | 503-652-1456
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Fax | 503-652-1451
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | DO19458
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License Number State | OR
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