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NPI Code Detail

MEDICARE: YAULLANDE PHILIPPE

MEDICARE:   YAULLANDE  PHILIPPE
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1247200000XOther Technician

General Provider Information

NPI Number : 1497288732
Entity Type Code : Individual
Provider Name (Legal Business Name) : YAULLANDE PHILIPPE
Provider Business Mailing Address
First Line : 1204 SEAVIEW
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-3908
Country : US
Telephone Number : 954-607-8948
Fax Number :
Provider Business Practice Location Address
First Line : 1204 SEAVIEW
Second Line :
City : NORTH LAUDERDALE
State : FL
Zip : 33068-3908
Country : US
Telephone Number : 954-607-8948
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/04/2017
Last Update Date : 04/04/2017

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Directions to “ YAULLANDE PHILIPPE ” Practice Location

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