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General NPI Number Information
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NPI Number | 1225114515
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Entity Type | Individual
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Provider Name | JOHN A. YUNKER M.S. LIC. PSYCHO.
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Gender | Male
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Dates
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Enumeration Date | 10/29/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 225 S MERAMEC AVE SUITE 202
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City | CLAYTON
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State | MO
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Zip | 63105-3511
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Country | US
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Telephone | 314-727-7266
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Fax | 314-994-1929
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Provider Business Mailing Address
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Address Line | 225 S MERAMEC AVE SUITE 202
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City | CLAYTON
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State | MO
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Zip | 63105-3511
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Country | US
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Telephone | 314-727-7266
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Fax | 314-994-1929
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PSY 00875
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License Number State | MO
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