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General NPI Number Information
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NPI Number | 1669087607
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Entity Type | Individual
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Provider Name | STELLA E. YONGA FNP/AGACNP
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Gender | Female
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Dates
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Enumeration Date | 09/15/2020
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Last Update Date | 11/14/2022
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Provider Practice Location Address
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Address Line | 3901A SPICEWOOD SPRINGS RD STE 201
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City | AUSTIN
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State | TX
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Zip | 78759-8728
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Country | US
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Telephone | 337-991-9276
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Fax | 337-943-0846
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Provider Business Mailing Address
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Address Line | 1509 DULLES DR
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City | LAFAYETTE
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State | LA
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Zip | 70506-3718
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Country | US
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Telephone | 379-919-2763
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Fax | 337-943-0846
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 215629
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 1082573
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License Number State | TX
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