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General NPI Number Information
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NPI Number | 1205254695
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Entity Type | Individual
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Provider Name | ROSHINI YAPA
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Gender | Female
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Dates
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Enumeration Date | 04/02/2014
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Last Update Date | 10/20/2022
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Provider Practice Location Address
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Address Line | 757 PACIFIC ST STE D2
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City | MONTEREY
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State | CA
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Zip | 93940-2819
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Country | US
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Telephone | 831-375-6802
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Fax |
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Provider Business Mailing Address
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Address Line | 6182 W LINDA LN
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City | CHANDLER
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State | AZ
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Zip | 85226-5844
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Country | US
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Telephone | 480-875-9711
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 59873
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | MD21043
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | DR.0061341
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 181712
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License Number State | CA
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