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General NPI Number Information
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NPI Number | 1750721254
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Entity Type | Individual
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Provider Name | THOMAS STEVEN YANGER D.O.
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Gender | Male
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 7800 SHOAL CREEK BLVD STE 130W
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City | AUSTIN
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State | TX
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Zip | 78757-1040
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Country | US
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Telephone | 512-407-8880
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Fax |
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Provider Business Mailing Address
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Address Line | 2 TRANSAM PLAZA DR STE 410
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City | OAKBROOK TERRACE
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State | IL
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Zip | 60181-4823
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Country | US
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Telephone | 866-259-1631
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Fax | 855-618-2629
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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 | 036.142988
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | BP10047018
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License Number State | TX
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