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General NPI Number Information
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NPI Number | 1982664579
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Entity Type | Individual
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Provider Name | JAMIE LYNN YAICH D.C.
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Gender | Female
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Dates
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Enumeration Date | 03/27/2006
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Last Update Date | 11/05/2009
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Provider Practice Location Address
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Address Line | 25941 EUCLID AVE
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City | EUCLID
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State | OH
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Zip | 44132-2723
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Country | US
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Telephone | 216-261-2055
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Fax | 216-261-2050
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Provider Business Mailing Address
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Address Line | 1197 CRANFORD AVE
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City | LAKEWOOD
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State | OH
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Zip | 44107-2305
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Country | US
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Telephone |
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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 | 111NN1001X
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Taxonomy Name | Nutrition Chiropractor
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License Number | DC008815
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License Number State | PA
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