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General NPI Number Information
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NPI Number | 1700994019
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Entity Type | Individual
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Provider Name | RYAN LAWRENCE YODER M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/27/2006
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Last Update Date | 11/27/2023
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Provider Practice Location Address
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Address Line | 70 MICHIGAN AVE W SUITE 250
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3614
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Country | US
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Telephone | 269-969-6177
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Fax | 269-969-8776
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Provider Business Mailing Address
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Address Line | 70 MICHIGAN AVE W SUITE 250
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City | BATTLE CREEK
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State | MI
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Zip | 49017-3614
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Country | US
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Telephone | 269-969-6177
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Fax | 269-969-8776
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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 | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | 4301079565
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License Number State | MI
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