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General NPI Number Information
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NPI Number | 1881997377
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Entity Type | Organization
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Legal Business Name | NATHAN KODY YERGER, M.D., PA
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Dates
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Enumeration Date | 12/06/2010
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Last Update Date | 12/06/2010
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Provider Practice Location Address
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Address Line | 600 S BONHAM ST
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City | MEXIA
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State | TX
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Zip | 76667-3603
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Country | US
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Telephone | 254-562-9321
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Fax | 254-562-3570
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Provider Business Mailing Address
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Address Line | 514 S BONHAM ST SUITE G
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City | MEXIA
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State | TX
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Zip | 76667-3600
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Country | US
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Telephone | 254-562-9321
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Fax | 254-562-3570
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Authorized Official
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Title or Position | OWNER
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Name | NATHAN KODY YERGER
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Credential | M.D.
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Telephone | 254-562-9321
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N1964
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License Number State | TX
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