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General NPI Number Information
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NPI Number | 1801071170
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Entity Type | Organization
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Legal Business Name | DAVID E YACHTER D.C., P.A.
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Dates
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Enumeration Date | 01/07/2008
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Last Update Date | 09/25/2008
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Provider Practice Location Address
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Address Line | 10189 CLEARY BLVD SUITE 103
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City | PLANTATION
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State | FL
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Zip | 33324-1027
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Country | US
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Telephone | 954-472-6002
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Fax | 954-472-7111
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Provider Business Mailing Address
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Address Line | 10189 CLEARY BLVD SUITE 103
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City | PLANTATION
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State | FL
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Zip | 33324-1027
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Country | US
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Telephone | 954-472-6002
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Fax | 954-472-7111
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Authorized Official
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Title or Position | OWNER/OPERATOR
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Name | DAVID EVAN YACHTER
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Credential | DC
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Telephone | 954-472-6002
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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 | 0006780
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License Number State | FL
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