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General NPI Number Information
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NPI Number | 1306035274
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Entity Type | Individual
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Provider Name | ANDREA JOHNSON YOST PSYD
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Gender | Female
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Dates
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Enumeration Date | 10/17/2007
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Last Update Date | 12/16/2010
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Provider Practice Location Address
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Address Line | 5405 JONESTOWN RD STE 103
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City | HARRISBURG
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State | PA
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Zip | 17112-4021
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Country | US
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Telephone | 301-706-7048
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Fax |
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Provider Business Mailing Address
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Address Line | 2848 CHURCH RD
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City | ELIZABETHTOWN
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State | PA
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Zip | 17022-9055
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Country | US
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Telephone | 301-706-7048
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | PS016714
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License Number State | PA
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