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General NPI Number Information
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NPI Number | 1790878569
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Entity Type | Organization
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Legal Business Name | YVONNE D'SYLVA M.D,INC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 770 MAGNOLIA AVE STE 2A
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City | CORONA
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State | CA
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Zip | 92879-3122
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Country | US
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Telephone | 951-736-8144
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Fax | 951-736-0701
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Provider Business Mailing Address
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Address Line | 770 MAGNOLIA AVE STE 2A
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City | CORONA
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State | CA
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Zip | 92879-3122
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Country | US
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Telephone | 951-736-8144
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Fax | 951-736-0701
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Authorized Official
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Title or Position | OWNER
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Name | MRS. YVONNE RAMONA D'SYLVA
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Credential | M.D.
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Telephone | 951-736-8144
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 00A353130
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License Number State | CA
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