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General NPI Number Information
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NPI Number | 1972847085
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Entity Type | Individual
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Provider Name | YOLANDA SHONTEL HEATH NP-C
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Gender | Female
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Dates
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Enumeration Date | 11/15/2012
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | 2833 LINCOLN ST
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City | HIGHLAND
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State | IN
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Zip | 46322-1924
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Country | US
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Telephone | 219-902-8984
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Fax |
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Provider Business Mailing Address
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Address Line | 635 E 78TH PL
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City | MERRILLVILLE
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State | IN
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Zip | 46410-5624
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Country | US
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Telephone | 219-902-8984
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 209010109
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 71004378A
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License Number State | IN
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