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General NPI Number Information
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NPI Number | 1669336590
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Entity Type | Individual
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Provider Name | NATASHA YANCEY
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Gender | Female
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Dates
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Enumeration Date | 12/15/2025
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 616 DALHART AVE
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City | ROMEOVILLE
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State | IL
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Zip | 60446-1332
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Country | US
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Telephone | 815-886-4343
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Fax |
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Provider Business Mailing Address
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Address Line | 297 WATERBURY CIR
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City | OSWEGO
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State | IL
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Zip | 60543-7920
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Country | US
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Telephone | 773-240-2585
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State |
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