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General NPI Number Information
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NPI Number | 1841609682
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Entity Type | Individual
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Provider Name | ASA GREENWOOD YANCEY JR. M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/06/2014
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Last Update Date | 08/06/2014
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Provider Practice Location Address
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Address Line | 6851 S HOLLY CIR SUITE 260
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City | CENTENNIAL
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State | CO
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Zip | 80112-1019
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Country | US
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Telephone | 303-740-0400
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Fax | 303-770-1252
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Provider Business Mailing Address
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Address Line | 6851 SOUTH HOLLY CIRCLE SUITE 260
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City | CENTENNIAL
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State | CO
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Zip | 80112-1050
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Country | US
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Telephone | 303-740-0400
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Fax | 303-770-1252
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 29437
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License Number State | CO
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Taxonomy #2
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Taxonomy Code | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 29437
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License Number State | CO
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