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General NPI Number Information
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NPI Number | 1427809813
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Entity Type | Organization
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Legal Business Name | YELLOW FOREST LLC
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Dates
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Enumeration Date | 04/01/2024
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Last Update Date | 04/01/2024
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Provider Practice Location Address
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Address Line | 1650 JOHN KING BLVD APT 4206
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City | ROCKWALL
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State | TX
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Zip | 75032-6443
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Country | US
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Telephone | 714-584-9449
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 802
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City | FATE
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State | TX
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Zip | 75087-0802
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Country | US
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Telephone | 714-584-9449
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Fax |
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Authorized Official
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Title or Position | LACTATION CONSULTANT
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Name | MS. SUNNY TSUNJAN HUANG
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Credential | IBCLC, LCCE, CLC
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Telephone | 714-584-9449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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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 | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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