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General NPI Number Information
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NPI Number | 1760669972
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Entity Type | Organization
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Legal Business Name | GEOFFREY J YULE, MD PS
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Dates
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Enumeration Date | 01/30/2008
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Last Update Date | 01/28/2015
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Provider Practice Location Address
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Address Line | 4300 TALBOT RD S STE 105
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City | RENTON
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State | WA
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Zip | 98055-6238
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Country | US
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Telephone | 425-255-5494
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Fax | 425-255-5033
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Provider Business Mailing Address
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Address Line | 4300 TALBOT RD S STE 105
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City | RENTON
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State | WA
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Zip | 98055-6238
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Country | US
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Telephone | 425-255-5494
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Fax | 425-255-5033
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Authorized Official
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Title or Position | OWNER
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Name | GEOFFREY J YULE
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Credential | MD
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Telephone | 425-255-5494
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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 | MD00034898
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License Number State | WA
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