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General NPI Number Information
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NPI Number | 1528926896
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Entity Type | Organization
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Legal Business Name | YELLOW RIVER RESIDENTIAL, LLC
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Dates
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Enumeration Date | 01/14/2026
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Last Update Date | 01/14/2026
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Provider Practice Location Address
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Address Line | 401 CAMPBELL DR
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City | TUSKEGEE
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State | AL
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Zip | 36083-2319
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Country | US
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Telephone | 334-657-5700
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Fax | 334-657-5700
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Provider Business Mailing Address
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Address Line | 401 CAMPBELL DR
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City | TUSKEGEE
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State | AL
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Zip | 36083-2319
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Country | US
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Telephone | 334-657-5700
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Fax | 334-657-5700
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Authorized Official
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Title or Position | CO OWNER
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Name | JAMILA CHANTILE WALKER
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Credential | OTR/L
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Telephone | 334-657-5700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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