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General NPI Number Information
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NPI Number | 1740758135
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Entity Type | Individual
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Provider Name | JEANPIERRE YOBOUE
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Gender | Male
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Dates
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Enumeration Date | 11/05/2018
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Last Update Date | 11/05/2018
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Provider Practice Location Address
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Address Line | 3412 GREEN HILL DR
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City | ARLINGTON
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State | TX
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Zip | 76014-3305
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Country | US
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Telephone | 817-606-9390
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E SOUTH ST UNIT 134
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City | ARLINGTON
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State | TX
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Zip | 76004-2806
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Country | US
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Telephone | 817-606-9390
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number | NA
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License Number State | TX
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