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General NPI Number Information
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NPI Number | 1245788231
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Entity Type | Individual
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Provider Name | JILLIAN YINGLING MS, PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/19/2016
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Last Update Date | 12/09/2025
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Provider Practice Location Address
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Address Line | 825 NE 10TH ST STE 1C
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5417
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Country | US
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Telephone | 405-271-2663
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Fax |
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Provider Business Mailing Address
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Address Line | 825 NE 10TH ST STE 1C
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City | OKLAHOMA CITY
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State | OK
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Zip | 73104-5417
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Country | US
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Telephone | 405-271-2663
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5601012899
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.006479RX
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 020018
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License Number State | NY
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 25MP00408200
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License Number State | NJ
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Taxonomy #5
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 4615
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License Number State | OK
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