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General NPI Number Information
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NPI Number | 1902843410
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Entity Type | Individual
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Provider Name | SANDRA K YBARRA F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 06/01/2006
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | EHS 800 S VICTORIA SBCH-ED PUEBO @BATH, SANTA BARBARA, CA ED
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City | VENTURA
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State | CA
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Zip | 93009-1150
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Country | US
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Telephone | 805-654-3814
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Fax | 805-654-5028
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Provider Business Mailing Address
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Address Line | 10049 RUBICON CT
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City | VENTURA
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State | CA
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Zip | 93004-2803
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Country | US
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Telephone | 805-647-0676
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | NP10068 / RN446139
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA22219
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License Number State | CA
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