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General NPI Number Information
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NPI Number | 1871652909
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Entity Type | Organization
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Legal Business Name | Y-KNOT CORPORATION
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 02/25/2014
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Provider Practice Location Address
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Address Line | 911 S BRYANT AVE
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City | EDMOND
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State | OK
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Zip | 73034-5743
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Country | US
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Telephone | 405-341-7246
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Fax | 405-341-7958
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Provider Business Mailing Address
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Address Line | 911 S BRYANT AVE
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City | EDMOND
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State | OK
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Zip | 73034-5743
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Country | US
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Telephone | 405-341-7246
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Fax | 405-341-7958
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Authorized Official
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Title or Position | OWNER
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Name | DR. LARRY STEVE YANDELL
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Credential | D.C.
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Telephone | 405-341-7246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 2544
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License Number State | OK
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