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General NPI Number Information
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NPI Number | 1861081358
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Entity Type | Individual
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Provider Name | YOLANDA BROWN-SPIDELL MA
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Gender | Female
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Dates
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Enumeration Date | 01/11/2021
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Last Update Date | 01/11/2021
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Provider Practice Location Address
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Address Line | 37160 S WOODBRIDGE CIR APT 202
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City | WESTLAND
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State | MI
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Zip | 48185-4577
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Country | US
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Telephone | 313-469-4132
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Fax |
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Provider Business Mailing Address
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Address Line | 37160 S WOODBRIDGE CIR APT 202
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City | WESTLAND
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State | MI
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Zip | 48185-4577
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Country | US
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Telephone | 313-469-4132
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number | SA0000000864904
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License Number State | MI
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