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General NPI Number Information
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NPI Number | 1528202397
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Entity Type | Individual
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Provider Name | AMBER ELIZABETH YASH LMT
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Gender | Female
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 105 SHIRLEY AVE
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City | DOUGLAS
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State | GA
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Zip | 31533-2325
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Country | US
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Telephone | 912-384-4494
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Fax | 912-393-3381
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Provider Business Mailing Address
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Address Line | 140 BETH CT
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City | ATHENS
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State | GA
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Zip | 30605-6038
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Country | US
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Telephone | 678-559-6952
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Fax | 912-393-3381
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT000549
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License Number State | GA
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