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General NPI Number Information
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NPI Number | 1326970039
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Entity Type | Individual
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Provider Name | NICHOLAS YONDOLA
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Gender | Male
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Dates
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Enumeration Date | 05/29/2026
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Last Update Date | 05/29/2026
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Provider Practice Location Address
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Address Line | 2926 E OSBORN RD APT 415
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City | PHOENIX
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State | AZ
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Zip | 85016-7077
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Country | US
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Telephone | 724-205-5578
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Fax |
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Provider Business Mailing Address
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Address Line | 1435 ROLLING ACRES RD
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City | LATROBE
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State | PA
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Zip | 15650-4714
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Country | US
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Telephone | 724-205-5578
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 339807
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License Number State | AZ
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