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General NPI Number Information
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NPI Number | 1538815840
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Entity Type | Individual
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Provider Name | DANIEL YEREKHMAN
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Gender | Male
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Dates
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Enumeration Date | 02/24/2022
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Last Update Date | 02/24/2022
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Provider Practice Location Address
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Address Line | 2200 RIVER PLAZA DR
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City | SACRAMENTO
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State | CA
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Zip | 95833-4134
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Country | US
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Telephone | 916-297-9052
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Fax |
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Provider Business Mailing Address
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Address Line | 232 CARBONERA DR
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City | SANTA CRUZ
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State | CA
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Zip | 95060-1500
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Country | US
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Telephone | 831-428-2821
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 71213
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License Number State | CA
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