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General NPI Number Information
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NPI Number | 1790719128
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Entity Type | Individual
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Provider Name | MICHAEL YANKOWITZ DPM
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Gender | Male
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Dates
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Enumeration Date | 07/10/2006
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Last Update Date | 02/04/2009
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Provider Practice Location Address
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Address Line | 1216 W MAIN ST LOWR LEVEL
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City | FESTUS
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State | MO
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Zip | 63028-1654
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Country | US
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Telephone | 636-933-4100
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Fax | 636-937-3788
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | FESTUS
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State | MO
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Zip | 63028-0068
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Country | US
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Telephone | 636-933-4100
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Fax | 636-937-3788
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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 | 213ES0131X
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Taxonomy Name | Foot Surgery Podiatrist
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License Number | 000621
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License Number State | MO
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