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General NPI Number Information
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NPI Number | 1780357889
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Entity Type | Individual
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Provider Name | DILLON J YEAGER PMHNP
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Gender | Male
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Dates
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Enumeration Date | 07/26/2021
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Last Update Date | 11/02/2021
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Provider Practice Location Address
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Address Line | 1169 PHILIPSBURG BIGLER HWY
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City | PHILIPSBURG
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State | PA
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Zip | 16866-8251
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Country | US
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Telephone | 814-343-7373
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Fax | 615-825-4178
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Provider Business Mailing Address
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Address Line | 127 PA-106
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City | GREENFIELD TOWNSHIP
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State | PA
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Zip | 18407-8142
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Country | US
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Telephone | 570-282-5189
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | SP023965
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License Number State | PA
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