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General NPI Number Information
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NPI Number | 1821680232
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Entity Type | Individual
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Provider Name | MS. SARIETTE NGANDJO YEPNDJOUO
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Gender | Female
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Dates
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Enumeration Date | 02/07/2021
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 24012 W RENWICK RD
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City | PLAINFIELD
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State | IL
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Zip | 60544-8722
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Country | US
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Telephone | 331-330-7228
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Fax | 775-459-7002
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Provider Business Mailing Address
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Address Line | 125 YARROW
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City | ROMEOVILLE
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State | IL
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Zip | 60446-3951
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Country | US
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Telephone | 630-617-1744
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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 | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 041465208
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 209.024776
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License Number State | IL
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