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General NPI Number Information
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NPI Number | 1134639552
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Entity Type | Individual
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Provider Name | CHERYL YEARBY
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Gender | Female
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Dates
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Enumeration Date | 10/11/2017
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Last Update Date | 10/11/2017
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Provider Practice Location Address
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Address Line | 8930 SHERIDA LN
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City | CHATTANOOGA
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State | TN
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Zip | 37416-1539
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Country | US
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Telephone | 423-503-8344
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Fax |
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Provider Business Mailing Address
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Address Line | 8930 SHERIDA LN
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City | CHATTANOOGA
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State | TN
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Zip | 37416-1539
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Country | US
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Telephone | 423-503-8344
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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