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General NPI Number Information
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NPI Number | 1013529577
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Entity Type | Individual
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Provider Name | WILLY ARMAND YOUGANG TCHOUTANG NP
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Gender | Male
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Dates
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Enumeration Date | 08/17/2020
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 211 RUSTY PLOW LN
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City | PERRY
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State | GA
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Zip | 31069-9870
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Country | US
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Telephone | 478-317-4446
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Fax |
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Provider Business Mailing Address
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Address Line | 120 STONEY CREEK DR
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City | KATHLEEN
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State | GA
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Zip | 31047-3120
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Country | US
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Telephone | 786-521-9948
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | RN258877
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License Number State | GA
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