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General NPI Number Information
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NPI Number | 1962826164
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Entity Type | Individual
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Provider Name | YUKI EDWARDS
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Gender | Female
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Dates
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Enumeration Date | 02/07/2014
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 1310 37TH ST
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City | VERO BEACH
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State | FL
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Zip | 32960-4860
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Country | US
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Telephone | 772-257-5502
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Fax |
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Provider Business Mailing Address
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Address Line | 7513 CANTON DR
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City | BILOXI
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State | MS
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Zip | 39532-2815
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Country | US
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Telephone | 228-860-5104
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 6566
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License Number State | FL
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