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General NPI Number Information
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NPI Number | 1770239246
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Entity Type | Individual
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Provider Name | KATLYN YUNKER CHW, CNA
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Gender | Female
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Dates
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Enumeration Date | 02/23/2022
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Last Update Date | 02/23/2022
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Provider Practice Location Address
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Address Line | 2523 WOODBINE ST
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City | NIOBRARA
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State | NE
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Zip | 68760
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Country | US
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Telephone | 402-857-3391
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Fax |
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Provider Business Mailing Address
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Address Line | 2523 WOODBINE ST
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City | NIOBRARA
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State | NE
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Zip | 68760
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Country | US
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Telephone | 402-857-3391
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 87465
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License Number State | NE
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