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General NPI Number Information
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NPI Number | 1134881592
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Entity Type | Individual
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Provider Name | BRIANNA YAW
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Gender | Female
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Dates
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Enumeration Date | 10/12/2021
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Last Update Date | 10/12/2021
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Provider Practice Location Address
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Address Line | 4061 CREEK RD
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City | YOUNGSTOWN
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State | NY
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Zip | 14174-9799
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Country | US
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Telephone | 716-754-8281
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Fax |
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Provider Business Mailing Address
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Address Line | 49 SKYLARK LN
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-6201
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Country | US
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Telephone | 716-550-0151
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 025461
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License Number State | NY
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