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General NPI Number Information
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NPI Number | 1497886949
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Entity Type | Individual
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Provider Name | NANCY YEATS BRANDT LCSW, DCSW, LMFT, RN
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Gender | Female
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 148 SAGAMORE PKWY W
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City | WEST LAFAYETTE BRA
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State | IN
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Zip | 47906-1569
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Country | US
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Telephone | 765-463-3016
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Fax | 765-463-2710
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Provider Business Mailing Address
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Address Line | 148 SAGAMORE PKWY W
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City | WEST LAFAYETTE BRA
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State | IN
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Zip | 47906-1569
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Country | US
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Telephone | 765-463-3016
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Fax | 765-463-2710
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 3400559A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 3500096A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 28045633A
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License Number State | IN
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