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General NPI Number Information
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NPI Number | 1770633307
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Entity Type | Individual
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Provider Name | PHILLIP BRADLEY YUHAS D.C.
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Gender | Male
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 1000 E JOHN ROWAN BLVD SUITE 106
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City | BARDSTOWN
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State | KY
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Zip | 40004-2060
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Country | US
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Telephone | 502-331-0900
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Fax | 502-331-0937
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Provider Business Mailing Address
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Address Line | 1000 E JOHN ROWAN BLVD SUITE 106
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City | BARDSTOWN
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State | KY
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Zip | 40004-2060
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Country | US
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Telephone | 502-331-0900
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Fax | 502-331-0937
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 4592
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License Number State | KY
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