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General NPI Number Information
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NPI Number | 1013335173
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Entity Type | Individual
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Provider Name | YASMIN RENEE MALDONADO-STITT M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/04/2014
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 420 WILLIAMSON WAY
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City | ASHLAND
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State | OR
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Zip | 97520-1251
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Country | US
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Telephone | 514-535-5523
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Fax |
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Provider Business Mailing Address
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Address Line | 420 WILLIAMSON WAY
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City | ASHLAND
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State | OR
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Zip | 97520-1251
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Country | US
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Telephone | 514-535-5523
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Fax | 541-535-5368
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | MD192864
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License Number State | OR
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