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General NPI Number Information
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NPI Number | 1952366619
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Entity Type | Individual
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Provider Name | STEPHEN H YANDEL DO
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 07/23/2025
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Provider Practice Location Address
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Address Line | 845 CENTURY MEDICAL DR STE B
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City | TITUSVILLE
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State | FL
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Zip | 32796-2157
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Country | US
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Telephone | 321-529-6202
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Fax | 321-802-6864
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Provider Business Mailing Address
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Address Line | 845 CENTURY MEDICAL DR STE B
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City | TITUSVILLE
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State | FL
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Zip | 32796-2157
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Country | US
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Telephone | 321-529-6202
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Fax | 321-802-6864
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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 | 207RH0000X
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Taxonomy Name | Hematology (Internal Medicine) Physician
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License Number | 0102208569
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 34.016906
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | OS5909
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | OS5909
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License Number State | FL
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