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General NPI Number Information
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NPI Number | 1780203505
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Entity Type | Individual
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Provider Name | COY YASLER DO
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Gender | Male
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Dates
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Enumeration Date | 04/11/2020
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 333 PINE RIDGE BLVD
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City | WAUSAU
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State | WI
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Zip | 54401-4102
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Country | US
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Telephone | 870-273-3215
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Fax |
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Provider Business Mailing Address
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Address Line | 744 W 9TH ST
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City | TULSA
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State | OK
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Zip | 74127-9907
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 81518-21
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License Number State | WI
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