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General NPI Number Information
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NPI Number | 1356686471
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Entity Type | Individual
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Provider Name | SYDNEY URBINA RD
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Gender | Female
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Dates
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Enumeration Date | 11/29/2012
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Last Update Date | 12/30/2025
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Provider Practice Location Address
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Address Line | 590 E HARDING WAY
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City | STOCKTON
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State | CA
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Zip | 95204-6110
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Country | US
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Telephone | 209-774-5800
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Fax |
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Provider Business Mailing Address
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Address Line | 367 LEE AVE
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City | LIVERMORE
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State | CA
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Zip | 94551-2137
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Country | US
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Telephone | 559-313-0740
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Fax |
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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 | 133VN1005X
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Taxonomy Name | Renal Nutrition Registered Dietitian
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 00999632
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | 999632
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License Number State | CA
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