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General NPI Number Information
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NPI Number | 1871445338
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Entity Type | Organization
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Legal Business Name | ISF ATIVO YUMA, LLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 10565 S COMMERCIAL CENTRE LOOP
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City | YUMA
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State | AZ
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Zip | 85367-4501
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Country | US
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Telephone | 928-615-3823
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Fax | 888-269-1139
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Provider Business Mailing Address
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Address Line | 2913 SATURN ST STE C
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City | BREA
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State | CA
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Zip | 92821-6263
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Country | US
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Telephone | 714-928-4319
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRYAN ZIEBART
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Credential |
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Telephone | 714-307-4911
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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