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NPI 1114973351

NPI 1114973351 : DEBORAH YAO M.D. : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1114973351
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    Entity Type          |    Individual 
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    Provider Name        |    DEBORAH YAO M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/26/2006
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    Last Update Date     |    07/05/2023
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Provider Practice Location Address
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    Address Line         |    2400 GLENDALE LN 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-2431
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    Country              |    US
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    Telephone            |    916-454-2345
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    Fax                  |    916-457-2667
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Provider Business Mailing Address
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    Address Line         |    1860 HOWE AVE STE 440 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95825-1098
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    Country              |    US
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    Telephone            |    916-569-8484
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    Fax                  |    916-256-2214
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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        |    208000000X
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    Taxonomy Name        |    Pediatrics Physician
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    License Number       |    85740
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    License Number State |    CA
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