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General NPI Number Information
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NPI Number | 1346295607
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Entity Type | Individual
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Provider Name | DONNA YATES RN, BC, FNP
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Gender | Female
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Dates
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Enumeration Date | 05/24/2006
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Last Update Date | 03/17/2008
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Provider Practice Location Address
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Address Line | 600 PURCELL DR SUITE B
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City | POTOSI
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State | MO
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Zip | 63664
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Country | US
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Telephone | 573-438-9355
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Fax | 573-438-7892
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Provider Business Mailing Address
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Address Line | 113 S NORWINE ST
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City | BONNE TERRE
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State | MO
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Zip | 63628-1644
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Country | US
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Telephone | 573-439-9355
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Fax | 573-438-7892
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 058329
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License Number State | MO
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