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General NPI Number Information
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NPI Number | 1255788543
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Entity Type | Organization
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Legal Business Name | DAVID E. YOCUM, M.D., A MEDICAL CORPORATION
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Dates
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Enumeration Date | 05/17/2016
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Last Update Date | 05/17/2016
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Provider Practice Location Address
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Address Line | 860 OAK PARK BLVD. #204
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City | ARROYO GRANDE
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State | CA
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Zip | 93420
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Country | US
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Telephone | 805-473-4001
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Fax | 805-473-4005
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Provider Business Mailing Address
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Address Line | 3725 CAMINO SAN GABRIEL
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City | ARROYO GRANDE
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State | CA
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Zip | 93420
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Country | US
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Telephone | 805-473-2994
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DAVID E. YOCUM
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Credential | M.D.
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Telephone | 805-473-2994
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number |
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License Number State | CA
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