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General NPI Number Information
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NPI Number | 1720421548
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Entity Type | Individual
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Provider Name | REGINA KAKHNOVETS YBARRA PH. D.
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Gender | Female
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Dates
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Enumeration Date | 04/11/2013
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Last Update Date | 03/09/2017
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Provider Practice Location Address
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Address Line | 7000 PARKWOOD BLVD SUITE G400
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City | FRISCO
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State | TX
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Zip | 75034-7406
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Country | US
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Telephone | 214-618-0588
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Fax | 877-345-4565
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Provider Business Mailing Address
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Address Line | 7000 PARKWOOD BLVD SUITE G400
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City | FRISCO
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State | TX
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Zip | 75034-7406
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Country | US
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Telephone | 214-618-0588
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Fax | 877-345-4565
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 3144
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | 1670
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License Number State | AL
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Taxonomy #3
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 36962
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License Number State | TX
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