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General NPI Number Information
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NPI Number | 1891764726
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Entity Type | Individual
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Provider Name | ERIC BLAINE YAZEL MD
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Gender | Male
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 1214 SPRING ST # 1
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City | JEFFERSONVILLE
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State | IN
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Zip | 47130-3704
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Country | US
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Telephone | 812-283-3993
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Fax | 812-283-7294
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Provider Business Mailing Address
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Address Line | 22902 MARRS LN
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City | BORDEN
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State | IN
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Zip | 47106-7904
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Country | US
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Telephone | 812-725-5927
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 01062273
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01062273A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 01062273
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License Number State | IN
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Taxonomy #4
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 01066273
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License Number State | IN
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Taxonomy #5
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 40102
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License Number State | KY
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