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General NPI Number Information
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NPI Number | 1104586692
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Entity Type | Individual
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Provider Name | CHRISTINA R YINGLING LBS
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Gender | Female
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Dates
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Enumeration Date | 12/23/2021
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Last Update Date | 07/20/2022
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Provider Practice Location Address
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Address Line | 1 CENTER SQ
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City | HANOVER
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State | PA
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Zip | 17331-3013
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Country | US
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Telephone | 223-205-9207
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Fax |
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Provider Business Mailing Address
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Address Line | 104 N QUEEN ST
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City | LITTLESTOWN
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State | PA
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Zip | 17340-1218
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Country | US
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Telephone | 223-205-9207
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | BH003803
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License Number State | PA
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