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General NPI Number Information
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NPI Number | 1225416365
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Entity Type | Organization
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Legal Business Name | KRISTEN YEE MD PC
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Dates
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Enumeration Date | 05/08/2015
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Last Update Date | 05/08/2015
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Provider Practice Location Address
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Address Line | 1111 SONOMA AVE STE 112
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City | SANTA ROSA
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State | CA
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Zip | 95405-4813
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Country | US
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Telephone | 707-525-8080
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Fax | 707-579-8820
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Provider Business Mailing Address
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Address Line | 1111 SONOMA AVE STE 112
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City | SANTA ROSA
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State | CA
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Zip | 95405-4813
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Country | US
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Telephone | 707-525-8080
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Fax | 707-579-8820
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Authorized Official
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Title or Position | MD
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Name | DR. KRISTEN S YEE
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Credential | MD., PC.
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Telephone | 707-525-8080
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 284300000X
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Taxonomy Name | Special Hospital
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License Number | A91088
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License Number State | CA
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