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General NPI Number Information
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NPI Number | 1760441000
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Entity Type | Individual
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Provider Name | CHERYL LYNN YELVERTON MD
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Gender | Female
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Dates
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Enumeration Date | 03/23/2006
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 201 NW 82ND AVE SUITE 305
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City | PLANTATION
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State | FL
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Zip | 33324-7808
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Country | US
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Telephone | 954-835-2788
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Fax | 954-430-4362
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Provider Business Mailing Address
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Address Line | 201 NW 82ND AVE SUITE 305
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City | PLANTATION
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State | FL
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Zip | 33324-7808
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Country | US
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Telephone | 954-835-2788
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Fax | 954-430-4362
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | ME88999
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | ME88999
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License Number State | FL
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