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General NPI Number Information
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NPI Number | 1669967261
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Entity Type | Individual
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Provider Name | CHERYL YU M.A. CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 06/26/2018
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Last Update Date | 07/10/2018
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Provider Practice Location Address
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Address Line | 1755 WITTINGTON PL STE 175
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City | DALLAS
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State | TX
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Zip | 75234
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Country | US
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Telephone | 877-456-2867
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Fax |
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Provider Business Mailing Address
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Address Line | 19787 NOB HL
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City | STRONGSVILLE
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State | OH
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Zip | 44136-7200
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Country | US
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Telephone | 440-554-2094
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 12597
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 2380
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License Number State | NV
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