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General NPI Number Information
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NPI Number | 1609141910
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Entity Type | Individual
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Provider Name | YAIMA ALONSO-JECKELL MD
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Gender | Female
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Dates
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Enumeration Date | 03/20/2012
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Last Update Date | 04/28/2025
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Provider Practice Location Address
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Address Line | 405 DUKE DR STE 210
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City | FRANKLIN
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State | TN
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Zip | 37067-2706
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Country | US
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Telephone | 844-291-4535
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Fax |
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Provider Business Mailing Address
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Address Line | 405 DUKE DR STE 210
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City | FRANKLIN
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State | TN
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Zip | 37067-2709
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Country | US
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Telephone | 844-291-4535
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | MD485661
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 52827
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License Number State | TN
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