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General NPI Number Information
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NPI Number | 1184586794
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Entity Type | Individual
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Provider Name | KRISTEN YAZZIE
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Gender | Female
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Dates
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Enumeration Date | 12/02/2025
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 100 KIOWA DR W # 302
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City | GAINESVILLE
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State | TX
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Zip | 76240-9584
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Country | US
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Telephone | 940-202-1338
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Fax |
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Provider Business Mailing Address
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Address Line | 4516 SERVERUS WAY
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City | DENTON
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State | TX
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Zip | 76208-2340
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 16695
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License Number State | TX
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