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General NPI Number Information
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NPI Number | 1598574519
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Entity Type | Individual
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Provider Name | YVETTE ANDREA WILLIAMS DPP LIFESTYLE COACH
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Gender | Female
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Dates
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Enumeration Date | 01/03/2025
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Last Update Date | 01/03/2025
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Provider Practice Location Address
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Address Line | 43 TOWN CENTER SQ STE 102
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City | HATTIESBURG
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State | MS
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Zip | 39402-7040
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Country | US
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Telephone | 800-945-9479
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Fax |
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Provider Business Mailing Address
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Address Line | 53 COLONIAL ST # 2
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City | HARTFORD
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State | CT
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Zip | 06106-3304
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Country | US
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Telephone | 860-726-3214
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | 174H00000X
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License Number State | VA
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