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General NPI Number Information
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NPI Number | 1659524296
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Entity Type | Individual
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Provider Name | JOEL YBARRA LMFT
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Gender | Male
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 10/28/2008
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Provider Practice Location Address
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Address Line | 1831 E 21ST ST
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City | ANDOVER
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State | KS
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Zip | 67002-8495
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Country | US
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Telephone | 316-858-9100
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Fax | 316-858-9101
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Provider Business Mailing Address
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Address Line | 1831 E 21ST ST
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City | ANDOVER
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State | KS
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Zip | 67002-8495
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Country | US
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Telephone | 316-858-9100
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Fax | 316-858-9101
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 932
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License Number State | KS
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