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General NPI Number Information
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NPI Number | 1285867085
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Entity Type | Individual
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Provider Name | YVONNE SANDOVAL HIS
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Gender | Female
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Dates
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Enumeration Date | 08/26/2009
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Last Update Date | 05/14/2011
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Provider Practice Location Address
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Address Line | 2143 W FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92545-3601
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Country | US
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Telephone | 951-925-8100
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Fax | 951-925-7300
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Provider Business Mailing Address
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Address Line | 2143 W FLORIDA AVE
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City | HEMET
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State | CA
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Zip | 92545-3601
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Country | US
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Telephone | 951-925-8100
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Fax | 951-925-7300
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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 | 237700000X
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Taxonomy Name | Hearing Instrument Specialist
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License Number | HA7526
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License Number State | CA
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