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General NPI Number Information
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NPI Number | 1184817215
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Entity Type | Individual
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Provider Name | TERRY JEAN YONKER PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/22/2007
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Last Update Date | 01/15/2021
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Provider Practice Location Address
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Address Line | 42 N MAIN ST
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City | CANANDAIGUA
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State | NY
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Zip | 14424-1446
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Country | US
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Telephone | 585-319-0014
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Fax | 585-393-0014
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Provider Business Mailing Address
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Address Line | 3458 LYON RD
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City | MARION
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State | NY
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Zip | 14505-9443
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Country | US
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Telephone | 315-310-7148
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Fax | 315-310-7148
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | F334053-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402420
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License Number State | NY
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