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General NPI Number Information
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NPI Number | 1932658713
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Entity Type | Individual
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Provider Name | KEVIN JAMES YATES D.C.
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Gender | Male
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Dates
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Enumeration Date | 09/22/2016
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 102 W PINELOCH AVE STE 11
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City | ORLANDO
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State | FL
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Zip | 32806-6100
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Country | US
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Telephone | 407-423-4761
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Fax |
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Provider Business Mailing Address
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Address Line | 102 W PINELOCH AVE STE 11
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City | ORLANDO
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State | FL
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Zip | 32806-6100
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Country | US
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Telephone | 407-791-8974
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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 | CH 5918
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License Number State | FL
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