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General NPI Number Information
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NPI Number | 1962548610
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Entity Type | Organization
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Legal Business Name | YOST CORPORATION
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4713 CROSSROADS PARK DR STE 201
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City | LIVERPOOL
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State | NY
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Zip | 13088-3556
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Country | US
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Telephone | 315-451-5164
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Fax | 315-451-3860
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Provider Business Mailing Address
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Address Line | 4713 CROSSROADS PARK DR STE 201
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City | LIVERPOOL
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State | NY
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Zip | 13088-3556
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Country | US
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Telephone | 315-451-5164
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Fax | 315-451-3860
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Authorized Official
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Title or Position | SOCIAL WORKER AND PROGRAM MANAGER
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Name | MR. STEVEN MITCHELL JOBSON
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Credential | LMSW
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Telephone | 315-451-5164
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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 |
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License Number State |
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