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General NPI Number Information
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NPI Number | 1669114815
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Entity Type | Individual
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Provider Name | LAUREN ASHLEY YOCOM
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Gender | Female
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 1009 BIRCH AVE
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City | WASCO
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State | CA
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Zip | 93280-2221
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Country | US
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Telephone | 661-426-1410
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Fax |
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Provider Business Mailing Address
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Address Line | 1800 WESTWIND DR STE 403
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City | BAKERSFIELD
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State | CA
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Zip | 93301-3032
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Country | US
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Telephone | 661-699-0558
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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