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General NPI Number Information
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NPI Number | 1912394651
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Entity Type | Individual
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Provider Name | BENJAMIN YARBROUGH M.D.
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Gender | Male
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Dates
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Enumeration Date | 04/21/2015
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 301 SETON PKWY STE 103
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City | ROUND ROCK
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State | TX
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Zip | 78665-8003
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Country | US
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Telephone | 512-324-4815
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Fax | 512-324-4729
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Provider Business Mailing Address
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Address Line | 301 SETON PKWY STE 103
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City | ROUND ROCK
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State | TX
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Zip | 78665-8003
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Country | US
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Telephone | 512-324-4815
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Fax | 512-324-4729
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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 | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | T7777
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License Number State | TX
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