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General NPI Number Information
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NPI Number | 1609255132
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Entity Type | Individual
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Provider Name | YVETTE JOHNSON DC
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Gender | Female
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Dates
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Enumeration Date | 05/29/2015
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Last Update Date | 05/29/2015
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Provider Practice Location Address
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Address Line | 880 W 1ST ST #105
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City | LOS ANGELES
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State | CA
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Zip | 90012-2443
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Country | US
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Telephone | 323-503-5101
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Fax |
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Provider Business Mailing Address
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Address Line | 880 W 1ST ST #105
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City | LOS ANGELES
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State | CA
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Zip | 90012-2443
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Country | US
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Telephone | 323-503-5101
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 32559
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License Number State | CA
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