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General NPI Number Information
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NPI Number | 1003292426
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Entity Type | Individual
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Provider Name | YVONNE KATSUYAMA , M.S., CCC-SLP
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Gender | Female
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Dates
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Enumeration Date | 08/07/2015
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Last Update Date | 02/10/2021
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Provider Practice Location Address
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Address Line | 1700 EUREKA RD STE 155
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City | ROSEVILLE
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State | CA
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Zip | 95661-7786
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Country | US
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Telephone | 916-276-0823
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Fax |
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Provider Business Mailing Address
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Address Line | 5406 CROSSINGS DR STE 102-359
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City | ROCKLIN
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State | CA
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Zip | 95677-3932
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Country | US
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Telephone | 916-276-0823
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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 | SP 20763
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SP20763
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License Number State | CA
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