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General NPI Number Information
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NPI Number | 1538343793
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Entity Type | Organization
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Legal Business Name | AFOG, INC.
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Dates
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Enumeration Date | 12/24/2007
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Last Update Date | 12/24/2007
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Provider Practice Location Address
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Address Line | 42145 LYNDIE LN SUITE 108
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City | TEMECULA
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State | CA
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Zip | 92591-3612
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Country | US
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Telephone | 951-272-7032
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Fax |
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Provider Business Mailing Address
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Address Line | 31805 US HWY 79 SOUTH, PMB 227 PMB 227
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City | TEMECULA
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State | CA
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Zip | 92592
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Country | US
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Telephone | 951-272-7032
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Fax | 951-676-8281
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. DONNA L YORKE
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Credential | MA
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Telephone | 951-272-7032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | MFC28822
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License Number State | CA
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