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General NPI Number Information
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NPI Number | 1881603181
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Entity Type | Individual
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Provider Name | NANCY KAY YATES-EAMICK NCC, LPC, LPCC
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Gender | Female
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 2025 E AZTEC AVE
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City | GALLUP
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State | NM
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Zip | 87301-4803
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Country | US
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Telephone | 505-863-3828
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Fax | 505-863-6612
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Provider Business Mailing Address
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Address Line | 201 E LOGAN AVE
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City | GALLUP
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State | NM
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Zip | 87301-6133
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Country | US
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Telephone | 505-863-3828
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Fax | 505-863-6612
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0082501
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License Number State | NM
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