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General NPI Number Information
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NPI Number | 1922270438
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Entity Type | Organization
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Legal Business Name | KAREN L YATES MD PC
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Dates
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Enumeration Date | 03/25/2008
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Last Update Date | 03/25/2008
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Provider Practice Location Address
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Address Line | 141 S MCCORMICK ST STE 108
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City | PRESCOTT
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State | AZ
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Zip | 86303-4730
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Country | US
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Telephone | 928-771-0555
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Fax | 928-771-0444
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Provider Business Mailing Address
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Address Line | 141 S MCCORMICK ST STE 108
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City | PRESCOTT
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State | AZ
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Zip | 86303-4730
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Country | US
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Telephone | 928-771-0555
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Fax | 928-771-0444
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Authorized Official
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Title or Position | OWNER
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Name | KAREN L YATES
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Credential | MD
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Telephone | 928-771-0555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 23760
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License Number State | AZ
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