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General NPI Number Information
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NPI Number | 1164916896
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Entity Type | Individual
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Provider Name | YVONNE AGUPUGO FNP
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Gender | Female
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Dates
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Enumeration Date | 06/16/2018
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Last Update Date | 06/16/2018
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Provider Practice Location Address
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Address Line | 7861 MURRAY AVE
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City | GILROY
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State | CA
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Zip | 95020-4604
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Country | US
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Telephone | 408-715-3088
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Fax |
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Provider Business Mailing Address
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Address Line | 191 E EL CAMINO REAL SPC 142
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City | MOUNTAIN VIEW
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State | CA
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Zip | 94040-2714
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Country | US
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Telephone | 630-885-5207
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95008925
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License Number State | CA
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