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General NPI Number Information
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NPI Number | 1720686918
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Entity Type | Individual
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Provider Name | YAHHILA YEHUDA YISRAEL CHW, HHP, RYT
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Gender | Female
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Dates
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Enumeration Date | 10/11/2020
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 105 STEVENS AVE
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2686
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Country | US
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Telephone | 516-643-4286
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Fax |
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Provider Business Mailing Address
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Address Line | 105 STEVENS AVE STE 408
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City | MOUNT VERNON
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State | NY
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Zip | 10550-2680
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Country | US
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Telephone | 516-643-4286
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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 | 171400000X
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Taxonomy Name | Health & Wellness Coach
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 175F00000X
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Taxonomy Name | Naturopath
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State | NY
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