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General NPI Number Information
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NPI Number | 1609191402
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Entity Type | Organization
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Legal Business Name | SHARON L YURKO O D INC A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 04/05/2010
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Last Update Date | 11/10/2011
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Provider Practice Location Address
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Address Line | 8246 LAGUNA BLVD STE 300
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City | ELK GROVE
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State | CA
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Zip | 95758-7968
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Country | US
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Telephone | 916-684-6688
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Fax | 916-684-6721
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Provider Business Mailing Address
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Address Line | 8246 LAGUNA BLVD STE 300
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City | ELK GROVE
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State | CA
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Zip | 95758-7968
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Country | US
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Telephone | 916-684-6688
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Fax | 916-684-6721
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SHARON L YURKO
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Credential | O.D.
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Telephone | 916-684-6688
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number | 8359T
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License Number State | CA
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