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General NPI Number Information
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NPI Number | 1659199164
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Entity Type | Individual
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Provider Name | IZZA MARIE YEE FNP
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 04/02/2025
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Provider Practice Location Address
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Address Line | 22030 SHERMAN WAY STE 211
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City | CANOGA PARK
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State | CA
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Zip | 91303-1882
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Country | US
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Telephone | 559-231-5366
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Fax |
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Provider Business Mailing Address
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Address Line | 24006 FRIAR ST
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City | WOODLAND HILLS
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State | CA
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Zip | 91367-1238
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Country | US
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Telephone | 818-917-6768
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 95030011
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License Number State | CA
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