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General NPI Number Information
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NPI Number | 1912335076
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Entity Type | Individual
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Provider Name | ANDREW JAY YOCKEY D.C.
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Gender | Male
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Dates
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Enumeration Date | 10/28/2013
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Last Update Date | 08/09/2016
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Provider Practice Location Address
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Address Line | 612 W LAKE LANSING RD STE 300
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City | EAST LANSING
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State | MI
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Zip | 48823-8528
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Country | US
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Telephone | 517-853-3797
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Fax |
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Provider Business Mailing Address
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Address Line | 160 MCKINLEY AVE N
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City | BATTLE CREEK
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State | MI
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Zip | 49017-4766
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Country | US
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Telephone |
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2301010005
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License Number State | MI
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