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General NPI Number Information
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NPI Number | 1134745342
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Entity Type | Individual
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Provider Name | JENNIFER YEAGER LPC, LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/23/2020
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Last Update Date | 05/13/2021
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Provider Practice Location Address
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Address Line | 1701 N COLLINS BLVD STE 126
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City | RICHARDSON
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State | TX
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Zip | 75080-3554
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Country | US
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Telephone | 214-791-1902
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Fax |
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Provider Business Mailing Address
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Address Line | 325 TURTLE CREEK DR
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City | MCKINNEY
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State | TX
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Zip | 75072-7173
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Country | US
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Telephone | 214-418-7661
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 203091
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 78951
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License Number State | TX
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