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General NPI Number Information
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NPI Number | 1861284176
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Entity Type | Individual
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Provider Name | REGINA YVETTE YORKMAN
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Gender | Female
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Dates
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Enumeration Date | 05/21/2025
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Last Update Date | 05/21/2025
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Provider Practice Location Address
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Address Line | 13207 DANGELO DR
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City | BOWIE
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State | MD
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Zip | 20720-4727
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Country | US
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Telephone | 301-906-6316
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Fax | 301-906-6316
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Provider Business Mailing Address
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Address Line | 13207 DANGELO DR
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City | BOWIE
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State | MD
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Zip | 20720-4727
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Country | US
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Telephone | 301-906-6316
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Fax | 301-906-6316
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200001709
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License Number State | DC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 21466
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License Number State | MD
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