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General NPI Number Information
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NPI Number | 1679390777
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Entity Type | Individual
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Provider Name | YAZARIA MAJOR
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Gender | Female
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Dates
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Enumeration Date | 09/21/2024
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Last Update Date | 09/21/2024
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Provider Practice Location Address
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Address Line | 5488 WANSFORD WAY UNIT 208
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City | ROCKFORD
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State | IL
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Zip | 61109-7501
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Country | US
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Telephone | 815-519-3227
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Fax |
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Provider Business Mailing Address
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Address Line | 2311 AUBURN ST APT 4
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City | ROCKFORD
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State | IL
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Zip | 61103-5402
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Country | US
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Telephone |
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State | IL
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