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General NPI Number Information
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NPI Number | 1053836650
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Entity Type | Individual
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Provider Name | YOLANDA COBLEY NP
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Gender | Female
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Dates
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Enumeration Date | 08/04/2017
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Last Update Date | 02/10/2026
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Provider Practice Location Address
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Address Line | 30 S HOWELL ST
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City | HILLSDALE
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State | MI
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Zip | 49242-1820
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Country | US
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Telephone | 269-226-5050
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Fax | 269-226-5034
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Provider Business Mailing Address
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Address Line | 3245 HEALTH DR STE 100
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City | GRANGER
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State | IN
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Zip | 46530-1380
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Country | US
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Telephone | 269-552-2823
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 4704230525
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License Number State | MI
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