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General NPI Number Information
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NPI Number | 1952819682
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Entity Type | Individual
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Provider Name | SUMMER YANEZ HOPKINS LPT
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Gender | Female
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 04/26/2022
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Provider Practice Location Address
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Address Line | 3491 KURTZ ST STE 150
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City | SAN DIEGO
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State | CA
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Zip | 92110-4430
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Country | US
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Telephone | 619-692-8200
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Fax |
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Provider Business Mailing Address
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Address Line | 2710 GRAND AVE APT 48
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City | SAN DIEGO
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State | CA
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Zip | 92109-4909
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Country | US
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Telephone | 619-212-2061
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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 | 167G00000X
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Taxonomy Name | Licensed Psychiatric Technician
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License Number | 33897
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License Number State | CA
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