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General NPI Number Information
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NPI Number | 1134325020
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Entity Type | Individual
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Provider Name | LYNELLE TOMIKO YUTANI RPA, RA, RT, CNMT
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Gender | Female
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Dates
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Enumeration Date | 06/26/2007
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 675 10TH AVE W
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City | VANCOUVER
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State | BC
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Zip | V5Z 1L3
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Country | CA
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Telephone | 604-877-6000
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1357
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City | DOUGLAS
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State | WY
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Zip | 82633-1357
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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 | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number | GN0835-99
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 247100000X
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Taxonomy Name | Radiologic Technologist
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License Number | GN0835-99
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 2471C3401X
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Taxonomy Name | Computed Tomography Radiologic Technologist
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License Number | GN0835-99
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 2471C3402X
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Taxonomy Name | Radiography Radiologic Technologist
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License Number | GN0835-99
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License Number State | WY
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Taxonomy #5
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Taxonomy Code | 2471N0900X
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Taxonomy Name | Nuclear Medicine Technology Radiologic Technologist
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License Number | GN0835-99
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License Number State | WY
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Taxonomy #6
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Taxonomy Code | 243U00000X
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Taxonomy Name | Radiology Practitioner Assistant
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License Number | GN- 835-99
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License Number State | WY
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Taxonomy #7
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Taxonomy Code | 2471M2300X
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Taxonomy Name | Mammography Radiologic Technologist
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License Number |
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License Number State |
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