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General NPI Number Information
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NPI Number | 1992565758
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Entity Type | Individual
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Provider Name | WILLIAM N.A. YAICH
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Gender | Male
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Dates
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Enumeration Date | 03/20/2024
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Last Update Date | 03/20/2024
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Provider Practice Location Address
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Address Line | 124 S MAIN ST
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City | COOPERSBURG
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State | PA
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Zip | 18036-1913
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Country | US
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Telephone | 610-699-9011
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Fax |
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Provider Business Mailing Address
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Address Line | 4596 CAMP MEETING RD
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City | CENTER VALLEY
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State | PA
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Zip | 18034-9479
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Country | US
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Telephone | 610-428-4229
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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