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NPI 1821102054

NPI 1821102054 : JOHN A YULO M.D. : METUCHEN, NJ

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General NPI Number Information
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    NPI Number           |    1821102054
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    Entity Type          |    Individual 
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    Provider Name        |    JOHN A YULO M.D.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/17/2006
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    Last Update Date     |    11/28/2012
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Provider Practice Location Address
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    Address Line         |    249 BRIDGE ST 
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    City                 |    METUCHEN
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    State                |    NJ
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    Zip                  |    08840-2294
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    Country              |    US
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    Telephone            |    732-516-1060
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    249 BRIDGE ST 
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    City                 |    METUCHEN
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    State                |    NJ
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    Zip                  |    08840-2294
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    Country              |    US
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    Telephone            |    732-516-1060
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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        |    207LP2900X
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    Taxonomy Name        |    Pain Medicine (Anesthesiology) Physician
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    License Number       |    MD062983-L
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    License Number State |    PA
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