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General NPI Number Information
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NPI Number | 1003222035
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Entity Type | Individual
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Provider Name | YEZENIA ALICIA VELAZCO-YASUDA FNP-C
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Gender | Female
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Dates
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Enumeration Date | 07/10/2014
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 8800 ALONDRA BLVD STE C
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City | BELLFLOWER
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State | CA
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Zip | 90706-4355
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Country | US
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Telephone | 562-602-2508
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Fax |
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Provider Business Mailing Address
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Address Line | 6213 E PEABODY ST
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City | LONG BEACH
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State | CA
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Zip | 90808-2826
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Country | US
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Telephone | 760-554-9506
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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 | 95033241
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License Number State | CA
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