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General NPI Number Information
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NPI Number | 1255274965
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Entity Type | Individual
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Provider Name | JIMENA YEPEZ
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Gender |
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Dates
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Enumeration Date | 04/09/2026
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Last Update Date | 04/09/2026
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Provider Practice Location Address
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Address Line | 10820 W 64TH ST STE 201
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City | SHAWNEE
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State | KS
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Zip | 66203-3571
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Country | US
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Telephone | 913-353-5959
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Fax |
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Provider Business Mailing Address
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Address Line | 119 N PARKER ST UNIT 210
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City | OLATHE
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State | KS
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Zip | 66061-3139
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Country | US
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Telephone | 913-353-5959
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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