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General NPI Number Information
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NPI Number | 1376974998
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Entity Type | Individual
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Provider Name | LINDA YARBROUGH
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Gender | Female
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Dates
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Enumeration Date | 12/07/2013
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Last Update Date | 12/07/2013
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Provider Practice Location Address
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Address Line | 5829 MAGIC OAK ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-6884
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Country | US
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Telephone | 702-517-3909
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Fax |
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Provider Business Mailing Address
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Address Line | 5829 MAGIC OAK ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89031-6884
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Country | US
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Telephone |
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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 | 103TR0400X
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Taxonomy Name | Rehabilitation Psychologist
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License Number |
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License Number State |
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