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General NPI Number Information
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NPI Number | 1124283239
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Entity Type | Individual
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Provider Name | SHEENAH DARLENE YODER OT/L
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Gender | Female
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Dates
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Enumeration Date | 07/29/2008
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Last Update Date | 08/30/2017
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Provider Practice Location Address
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Address Line | 853 LEXINGTON RD
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City | HARRODSBURG
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State | KY
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Zip | 40330-1260
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Country | US
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Telephone | 859-734-7791
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Fax |
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Provider Business Mailing Address
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Address Line | 337 S HARRISON ST
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City | LEBANON
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State | KY
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Zip | 40022
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Country | US
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Telephone |
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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 | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | R2513
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License Number State | KY
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