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General NPI Number Information
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NPI Number | 1902820970
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Entity Type | Individual
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Provider Name | JAY A YATES MD
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Gender | Male
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Dates
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Enumeration Date | 07/26/2006
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 101 MEDICAL PLZ
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City | SULPHUR SPRINGS
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State | TX
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Zip | 75482-2136
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Country | US
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Telephone | 903-885-6534
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Fax |
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Provider Business Mailing Address
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Address Line | 229 PARRISH ST SUITE 250
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1791
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Country | US
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Telephone | 585-394-8800
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Fax | 585-394-5942
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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 | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 219987
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | V5147
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License Number State | TX
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