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General NPI Number Information
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NPI Number | 1033946710
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Entity Type | Individual
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Provider Name | ELIZABETH YOUMAN MA
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Gender | Female
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Dates
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Enumeration Date | 09/17/2024
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Last Update Date | 09/17/2024
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Provider Practice Location Address
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Address Line | 4800 W STONES CROSSING RD
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City | GREENWOOD
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State | IN
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Zip | 46143-6614
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Country | US
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Telephone | 317-881-1720
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Fax |
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Provider Business Mailing Address
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Address Line | 50 MCDONALD DR
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City | MORGANTOWN
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State | IN
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Zip | 46160-8931
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Country | US
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Telephone | 812-870-3392
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 1590769
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License Number State | IN
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