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General NPI Number Information
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NPI Number | 1457410268
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Entity Type | Individual
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Provider Name | CAROLYN J YOCUM PHARM.D
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Gender | Female
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Dates
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Enumeration Date | 12/07/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 9985 SIERRA AVE MOB#2, 5TH FLOOR
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City | FONTANA
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State | CA
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Zip | 92335-6720
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Country | US
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Telephone | 909-427-4839
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Fax | 909-427-2344
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Provider Business Mailing Address
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Address Line | 154A W FOOTHILL BLVD # 232
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City | UPLAND
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State | CA
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Zip | 91786-3847
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Country | US
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Telephone | 951-536-0991
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Fax | 909-427-2344
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH43960
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License Number State | CA
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