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General NPI Number Information
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NPI Number | 1639492895
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Entity Type | Individual
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Provider Name | YASMIN CECILE EMBDEN C.R.N.A.
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Gender | Female
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Dates
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Enumeration Date | 03/02/2010
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Last Update Date | 03/02/2010
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Provider Practice Location Address
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Address Line | 2701 W ALAMEDA AVE SUITE 602
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City | BURBANK
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State | CA
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Zip | 91505-4402
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Country | US
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Telephone | 818-840-8335
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Fax | 818-843-7384
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Provider Business Mailing Address
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Address Line | 2766 W LOMA VISTA DR
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City | RIALTO
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State | CA
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Zip | 92377-3446
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Country | US
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Telephone | 909-350-2829
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Fax | 909-350-2006
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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 | 364SM0705X
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Taxonomy Name | Medical-Surgical Clinical Nurse Specialist
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License Number | 239252
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 385
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License Number State | CA
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