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General NPI Number Information
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NPI Number | 1639753783
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Entity Type | Individual
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Provider Name | YVONNE MUTURI NP
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Gender | Female
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Dates
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Enumeration Date | 05/05/2021
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Last Update Date | 05/26/2025
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Provider Practice Location Address
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Address Line | 815 POLLARD RD
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City | LOS GATOS
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State | CA
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Zip | 95032-1438
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Country | US
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Telephone | 774-253-0634
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Fax |
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Provider Business Mailing Address
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Address Line | 863 BROADWAY APT 435
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City | SAUGUS
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State | MA
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Zip | 01906-3575
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Country | US
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Telephone | 774-253-0634
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP95019041
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | RN2274105
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License Number State | MA
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Taxonomy #3
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Taxonomy Code | 163WG0000X
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Taxonomy Name | General Practice Registered Nurse
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License Number | RN2274105
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License Number State | MA
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