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General NPI Number Information
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NPI Number | 1053603068
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Entity Type | Individual
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Provider Name | YIZZA NARVAEZ M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2011
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Last Update Date | 12/21/2023
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Provider Practice Location Address
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Address Line | 401 BICENTENNIAL WAY
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City | SANTA ROSA
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State | CA
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Zip | 95403-2149
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Country | US
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Telephone | 707-684-1538
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Fax |
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Provider Business Mailing Address
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Address Line | 2680 BRUSH CREEK RD
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City | SANTA ROSA
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State | CA
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Zip | 95404-1625
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Country | US
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Telephone | 718-578-9391
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 287928
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | D0079565
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | C191782
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License Number State | CA
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