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General NPI Number Information
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NPI Number | 1245645977
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Entity Type | Individual
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Provider Name | YANNA LI CRNP
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Gender | Female
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Dates
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Enumeration Date | 06/20/2014
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Last Update Date | 01/12/2015
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Provider Practice Location Address
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Address Line | 100 N HANOVER ST
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City | CARLISLE
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State | PA
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Zip | 17013-2421
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Country | US
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Telephone | 717-218-6670
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Fax | 717-218-6671
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Provider Business Mailing Address
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Address Line | 807 MARSHALL DR
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City | CARLISLE
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State | PA
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Zip | 17013-1665
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Country | US
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Telephone | 917-605-1137
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN603297
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | SP013749
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License Number State | PA
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