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General NPI Number Information
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NPI Number | 1912905332
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Entity Type | Individual
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Provider Name | DORIS A YODER CRNP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2005
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Last Update Date | 10/02/2012
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Provider Practice Location Address
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Address Line | 1569 STONEMILL DR
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9439
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Country | US
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Telephone | 888-769-3992
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Fax | 888-769-3992
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Provider Business Mailing Address
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Address Line | 804 NEW HOLLAND AVE
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City | LANCASTER
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State | PA
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Zip | 17602-2163
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Country | US
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Telephone | 888-769-3992
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Fax | 888-769-3992
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | UP001377B
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License Number State | PA
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