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General NPI Number Information
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NPI Number | 1356492771
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Entity Type | Individual
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Provider Name | YVETTE ALISE FAUST RN
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Gender | Female
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Dates
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Enumeration Date | 01/13/2007
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Last Update Date | 10/22/2021
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Provider Practice Location Address
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Address Line | 2607 HARRIS ST
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City | EUREKA
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State | CA
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Zip | 95503-4806
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Country | US
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Telephone | 707-445-3443
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Fax |
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Provider Business Mailing Address
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Address Line | 6290 WESTRIDGE CT
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City | EUREKA
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State | CA
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Zip | 95503-9201
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Country | US
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Telephone | 707-445-7348
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Fax | 707-443-7348
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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 | 163WR0006X
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Taxonomy Name | Registered Nurse First Assistant
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License Number | RN411242
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 17315
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License Number State | CA
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