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General NPI Number Information
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NPI Number | 1720752637
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Entity Type | Individual
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Provider Name | MATTHEW R YEATES PHARMD
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Gender | Male
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Dates
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Enumeration Date | 08/04/2021
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | 801 NEWTON RD
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City | IOWA CITY
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State | IA
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Zip | 52242
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Country | US
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Telephone | 319-335-8674
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Fax |
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Provider Business Mailing Address
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Address Line | 274 EVERSULL LN
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City | IOWA CITY
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State | IA
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Zip | 52245-9372
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Country | US
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Telephone |
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Fax |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | RPH-0018515
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 61187336
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License Number State | WA
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