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General NPI Number Information
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NPI Number | 1952866782
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Entity Type | Individual
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Provider Name | YOLANDA MICHELLE SKULL LPC-I
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Gender | Female
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 02/06/2019
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Provider Practice Location Address
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Address Line | 1801 WYOMING AVE STE 102
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City | EL PASO
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State | TX
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Zip | 79902-5707
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Country | US
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Telephone | 915-772-2237
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Fax |
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Provider Business Mailing Address
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Address Line | 11484 LUCIO MORENO DR
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City | EL PASO
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State | TX
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Zip | 79934-3192
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Country | US
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Telephone | 347-204-3581
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 81008
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License Number State | TX
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