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General NPI Number Information
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NPI Number | 1720131451
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Entity Type | Individual
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Provider Name | STEVEN GARY YEARSLEY M.D.
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Gender | Male
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Dates
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Enumeration Date | 01/18/2007
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 310 N 10TH ST
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City | BISMARCK
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State | ND
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Zip | 58501-4516
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Country | US
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Telephone | 701-877-2020
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Fax | 701-299-4517
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Provider Business Mailing Address
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Address Line | 401 N 9TH ST
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City | BISMARCK
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State | ND
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Zip | 58501-4530
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Country | US
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Telephone | 701-712-4500
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Fax | 701-712-4098
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 10799
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 11062
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License Number State | ND
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