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General NPI Number Information
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NPI Number | 1831493659
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Entity Type | Individual
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Provider Name | JOANNA I YAMOAH P.A.
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Gender | Female
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Dates
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Enumeration Date | 01/09/2011
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Last Update Date | 07/31/2024
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Provider Practice Location Address
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Address Line | 1208 BENT OAKS CT
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City | DENTON
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State | TX
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Zip | 76210-3300
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Country | US
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Telephone | 940-566-5437
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Fax | 940-323-0553
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Provider Business Mailing Address
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Address Line | 4673 PRAIRIE CROSSING DR
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City | FORT WORTH
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State | TX
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Zip | 76244-4223
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Country | US
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Telephone | 940-765-1690
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA07100
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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