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General NPI Number Information
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NPI Number | 1679795785
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Entity Type | Individual
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Provider Name | YVETTE ELIZABETH FIELDS P.A.
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Gender | Female
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Dates
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Enumeration Date | 05/02/2007
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Last Update Date | 05/13/2019
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Provider Practice Location Address
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Address Line | 6100 PAN AMERICAN FREEWAY NE SUITE 330
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-3427
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Country | US
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Telephone | 505-856-2735
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Fax | 505-856-2749
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Provider Business Mailing Address
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Address Line | PO BOX 603725
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City | CHARLOTTE
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State | NC
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Zip | 28260-3725
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Country | US
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Telephone | 858-575-2625
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Fax | 828-350-2174
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 97PA07
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License Number State | NM
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