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General NPI Number Information
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NPI Number | 1124469192
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Entity Type | Individual
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Provider Name | ASHLEY KATE YANCHO LMSW, CAADC, MPA
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Gender | Female
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Dates
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Enumeration Date | 07/08/2013
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Last Update Date | 08/10/2022
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Provider Practice Location Address
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Address Line | 1845 RW BERENDS DR SW
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City | WYOMING
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State | MI
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Zip | 49519-4955
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Country | US
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Telephone | 616-303-3917
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Fax |
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Provider Business Mailing Address
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Address Line | 3216 BROOKHOLLOW DR NE
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City | ROCKFORD
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State | MI
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Zip | 49341-9223
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Country | US
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Telephone | 586-747-8204
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 6801094859
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License Number State | MI
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