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General NPI Number Information
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NPI Number | 1952592966
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Entity Type | Organization
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Legal Business Name | LINDA S YANCEY MD PA
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Dates
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Enumeration Date | 08/05/2007
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Last Update Date | 08/05/2007
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Provider Practice Location Address
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Address Line | 1403 SCENIC RIDGE DR
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City | HOUSTON
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State | TX
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Zip | 77043-3404
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Country | US
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Telephone | 832-335-0773
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Fax |
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Provider Business Mailing Address
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Address Line | 1403 SCENIC RIDGE DR
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City | HOUSTON
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State | TX
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Zip | 77043-3404
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Country | US
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Telephone | 832-335-0773
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA S YANCEY
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Credential | MD
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Telephone | 832-335-0773
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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License Number |
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License Number State |
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