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General NPI Number Information
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NPI Number | 1902723950
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Entity Type | Individual
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Provider Name | TARA PAIGE YONKIN DPT
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Gender | Female
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 2130 S 17TH ST STE 200
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City | LINCOLN
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State | NE
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Zip | 68502-3750
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Country | US
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Telephone | 402-476-6575
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Fax | 402-476-6576
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Provider Business Mailing Address
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Address Line | 3741 FAULKNER DR APT 116
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City | LINCOLN
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State | NE
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Zip | 68516-4752
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Country | US
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Telephone | 402-476-6575
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Fax | 402-476-6576
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 11-08194
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License Number State | KS
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