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General NPI Number Information
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NPI Number | 1558806745
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Entity Type | Individual
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Provider Name | MEIRA YASIN
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Gender | Female
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Dates
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Enumeration Date | 12/27/2016
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Last Update Date | 10/01/2018
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Provider Practice Location Address
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Address Line | 365 STOUT DRIVE SUITE 160
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City | JOHNSON CITY
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State | TN
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Zip | 37614-1703
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Country | US
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Telephone | 423-433-6057
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Fax | 423-433-6060
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Provider Business Mailing Address
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Address Line | PO BOX 52391
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City | KNOXVILLE
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State | TN
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Zip | 37950-2391
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Country | US
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Telephone | 865-384-7476
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Fax | 865-381-1205
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 22082
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License Number State | TN
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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 | 22082
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License Number State | TN
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