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General NPI Number Information
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NPI Number | 1508900598
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Entity Type | Individual
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Provider Name | MARY S YATES LCSW
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Gender | Female
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 07/12/2023
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Provider Practice Location Address
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Address Line | 2300 21ST AVE S STE 305
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City | NASHVILLE
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State | TN
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Zip | 37212-4927
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Country | US
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Telephone | 434-484-2132
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Fax |
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Provider Business Mailing Address
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Address Line | 307 GRACE ST
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City | NASHVILLE
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State | TN
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Zip | 37207-5838
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Country | US
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Telephone | 434-484-2132
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LSW0000008333
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | C012783
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 0904003136
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License Number State | VA
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