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General NPI Number Information
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NPI Number | 1346503505
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Entity Type | Individual
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Provider Name | AMY YIP D.O
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Gender | Female
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Dates
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Enumeration Date | 06/21/2012
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Last Update Date | 06/05/2020
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Provider Practice Location Address
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Address Line | 3160 FOLSOM BLVD
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City | SACRAMENTO
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State | CA
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Zip | 95816-5202
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Country | US
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Telephone | 916-734-5846
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Fax | 916-451-1020
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Provider Business Mailing Address
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Address Line | 3160 FOLSOM BLVD STE 2500
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City | SACRAMENTO
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State | CA
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Zip | 95816-5267
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Country | US
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Telephone | 916-734-5846
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Fax | 916-451-1020
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 20A14547
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License Number State | CA
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