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General NPI Number Information
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NPI Number | 1982517942
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Entity Type | Individual
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Provider Name | SHELBY YEAKEL
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Gender | Female
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Dates
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Enumeration Date | 09/23/2026
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Last Update Date | 09/23/2026
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Provider Practice Location Address
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Address Line | 240 PENN AVE FL 1
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City | SCRANTON
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State | PA
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Zip | 18503-1963
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Country | US
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Telephone | 570-558-0290
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Fax |
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Provider Business Mailing Address
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Address Line | 1459 MOUNT COBB RD APT A
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City | JEFFERSON TOWNSHIP
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State | PA
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Zip | 18436-3226
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Country | US
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Telephone | 816-262-8907
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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 | 225200000X
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Taxonomy Name | Physical Therapy Assistant
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License Number | TE013622
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License Number State | PA
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