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General NPI Number Information
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NPI Number | 1801835525
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Entity Type | Individual
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Provider Name | BRENDA LEE YANOFSKY ED.D.,DOM, AP
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Gender | Female
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Dates
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Enumeration Date | 06/06/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 5049 RINGWOOD MDWS
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City | SARASOTA
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State | FL
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Zip | 34235-2035
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Country | US
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Telephone | 941-955-1220
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Fax | 941-355-5432
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Provider Business Mailing Address
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Address Line | 6914 STANHOPE PL
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City | UNIVERSITY PARK
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State | FL
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Zip | 34201-2260
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Country | US
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Telephone | 941-587-5260
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Fax | 941-355-5432
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | 2019
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License Number State | FL
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