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General NPI Number Information
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NPI Number | 1750707915
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Entity Type | Individual
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Provider Name | DANIELLE YADON
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Gender | Female
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Dates
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Enumeration Date | 03/12/2014
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 1 MACARTHUR LOOP
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City | FORT LEAVENWORTH
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State | KS
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Zip | 66027-4505
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Country | US
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Telephone | 785-817-8257
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Fax |
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Provider Business Mailing Address
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Address Line | 9266 COTTONWOOD CANYON DR
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City | LENEXA
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State | KS
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Zip | 66219-8172
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Country | US
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Telephone | 785-817-8257
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number |
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License Number State |
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