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General NPI Number Information
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NPI Number | 1285221010
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Entity Type | Individual
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Provider Name | KARSON YVONNE LEE B.S., RBT
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Gender | Female
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Dates
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Enumeration Date | 12/28/2020
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Last Update Date | 12/28/2020
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Provider Practice Location Address
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Address Line | 496 OLD ROUTE 66
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City | SAINT ROBERT
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State | MO
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Zip | 65584-3728
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Country | US
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Telephone | 573-246-6164
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Fax |
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Provider Business Mailing Address
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Address Line | 1300 DONLEE ST
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City | QUINCY
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State | IL
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Zip | 62305-1483
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Country | US
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Telephone | 217-779-7202
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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 | 106E00000X
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Taxonomy Name | Assistant Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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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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