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General NPI Number Information
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NPI Number | 1013284082
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Entity Type | Organization
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Legal Business Name | YES DIABETICS
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Dates
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Enumeration Date | 11/18/2011
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Last Update Date | 11/18/2011
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Provider Practice Location Address
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Address Line | 1851 KARAS CT
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City | CONCORD
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State | CA
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Zip | 94521-1552
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Country | US
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Telephone | 650-392-2582
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Fax |
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Provider Business Mailing Address
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Address Line | 1851 KARAS CT
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City | CONCORD
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State | CA
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Zip | 94521-1552
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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 | OWNER
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Name | MRS. CAROL YVONNE SIDELL
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Credential |
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Telephone | 650-392-2582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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