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General NPI Number Information
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NPI Number | 1326469180
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Entity Type | Individual
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Provider Name | DEBORAH ANN YENSER MS, LAT, ATC
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Gender | Female
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Dates
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Enumeration Date | 12/21/2013
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Last Update Date | 04/10/2020
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Provider Practice Location Address
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Address Line | 601 W DAYTON ST
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City | MADISON
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State | WI
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Zip | 53715-1206
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Country | US
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Telephone | 608-572-1192
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Fax |
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Provider Business Mailing Address
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Address Line | 18 S BEDFORD ST APT 305
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City | MADISON
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State | WI
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Zip | 53703-3082
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Country | US
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Telephone | 484-356-6474
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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 | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | RT004531
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number |
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License Number State | DC
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Taxonomy #3
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Taxonomy Code | 2255A2300X
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Taxonomy Name | Athletic Trainer
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License Number | 1996-39
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License Number State | WI
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