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General NPI Number Information
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NPI Number | 1295782423
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Entity Type | Organization
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Legal Business Name | YORBA LINDA FAMILY PHYSICIANS, A MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 05/31/2006
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 18300 YORBA LINDA BLVD SUITE 201
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City | YORBA LINDA
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State | CA
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Zip | 92886-4052
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Country | US
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Telephone | 714-577-6000
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Fax | 714-572-2562
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Provider Business Mailing Address
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Address Line | 18200 YORBA LINDA BLVD SUITE 401
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City | YORBA LINDA
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State | CA
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Zip | 92886-4056
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Country | US
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Telephone | 714-646-8000
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Fax | 714-572-2562
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS BARKER
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Credential | M.D.
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Telephone | 714-646-8000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State | CA
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