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General NPI Number Information
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NPI Number | 1780681601
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Entity Type | Individual
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Provider Name | PETER T. YASWINSKI JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 01/21/2025
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Provider Practice Location Address
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Address Line | 369 E BROWN ST
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-9101
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Country | US
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Telephone | 570-421-6040
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Fax | 570-421-5290
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Provider Business Mailing Address
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Address Line | 179 INDEPENDENCE RD
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City | EAST STROUDSBURG
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State | PA
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Zip | 18301-9207
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Country | US
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Telephone | 570-426-2700
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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 | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number | MD028986E
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License Number State | PA
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