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General NPI Number Information
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NPI Number | 1720859853
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Entity Type | Individual
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Provider Name | DANIELLE L YANCEY
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Gender | Female
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Dates
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Enumeration Date | 01/09/2024
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Last Update Date | 01/09/2024
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Provider Practice Location Address
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Address Line | 370 N STATE HIGHWAY 360 APT 6303
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City | MANSFIELD
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State | TX
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Zip | 76063-9033
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Country | US
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Telephone | 214-718-1288
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 E LAMAR BLVD STE 600
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City | ARLINGTON
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State | TX
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Zip | 76006-7361
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Country | US
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Telephone | 817-837-0977
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Fax | 817-467-8002
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | 022439
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License Number State | TX
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