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General NPI Number Information
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NPI Number | 1720984727
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Entity Type | Organization
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Legal Business Name | YARDEN REVENUE LLC
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Dates
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Enumeration Date | 10/16/2026
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Last Update Date | 10/16/2026
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Provider Practice Location Address
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Address Line | 3707 POINCIANA DR APT 82
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City | SANTA CLARA
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State | CA
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Zip | 95051-2040
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Country | US
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Telephone | 945-402-2657
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Fax | 945-402-2657
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Provider Business Mailing Address
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Address Line | 3707 POINCIANA DR APT 82
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City | SANTA CLARA
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State | CA
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Zip | 95051-2040
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Country | US
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Telephone | 945-402-2657
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Fax | 945-402-2657
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Authorized Official
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Title or Position | OWNER
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Name | BALKER SINGH
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Credential |
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Telephone | 945-402-2657
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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