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General NPI Number Information
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NPI Number | 1881860930
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Entity Type | Individual
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Provider Name | ERIC JASON YARBROUGH M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/07/2008
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Last Update Date | 01/26/2026
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Provider Practice Location Address
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Address Line | 280 MEEKER AVE STE OFFICE
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City | BROOKLYN
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State | NY
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Zip | 11211-6090
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Country | US
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Telephone | 646-256-7009
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Fax | 212-523-4911
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Provider Business Mailing Address
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Address Line | 116 CONSELYEA ST APT 4B
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City | BROOKLYN
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State | NY
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Zip | 11211-2356
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Country | US
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Telephone | 646-256-7009
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Fax | 646-722-8660
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 246673
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License Number State | NY
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