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General NPI Number Information
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NPI Number | 1508510546
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Entity Type | Individual
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Provider Name | YEWANDE NOAH PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 02/08/2022
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1245 S WINCHESTER BLVD STE 110
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City | SAN JOSE
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State | CA
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Zip | 95128-3908
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Country | US
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Telephone | 925-282-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 1245 S WINCHESTER BLVD STE 110
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City | SAN JOSE
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State | CA
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Zip | 95128-3908
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Country | US
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Telephone | 925-282-1778
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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 | 163WP0807X
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Taxonomy Name | Child & Adolescent Psychiatric/Mental Health Registered Nurse
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License Number | 95170547
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP61486087
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95026261
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License Number State | CA
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