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General NPI Number Information
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NPI Number | 1932838547
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Entity Type | Individual
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Provider Name | KATRINA YOCUM
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Gender | Female
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Dates
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Enumeration Date | 06/08/2022
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Last Update Date | 06/08/2022
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Provider Practice Location Address
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Address Line | 2301 HOLMES ST
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City | KANSAS CITY
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State | MO
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Zip | 64108-2640
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Country | US
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Telephone | 816-404-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 708 W 48TH ST APT 201
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City | KANSAS CITY
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State | MO
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Zip | 64112-1810
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Country | US
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Telephone | 816-916-0230
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 137606
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License Number State | MO
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