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General NPI Number Information
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NPI Number | 1144810367
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Entity Type | Individual
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Provider Name | MARY NEWSOME YANCEY MT0104524
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Gender | Female
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 3001 BLADENSBURG RD NE APT 808
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City | WASHINGTON
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State | DC
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Zip | 20018-2237
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Country | US
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Telephone | 305-244-2521
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Fax |
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Provider Business Mailing Address
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Address Line | 2407 57TH AVE
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City | HYATTSVILLE
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State | MD
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Zip | 20785-2904
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Country | US
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Telephone | 301-379-2376
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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