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General NPI Number Information
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NPI Number | 1043734569
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Entity Type | Individual
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Provider Name | MAI YANG
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Gender | Female
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Dates
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Enumeration Date | 07/26/2017
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Last Update Date | 05/28/2024
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Provider Practice Location Address
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Address Line | 2822 WINTHROP AVE
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City | CARLSBAD
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State | CA
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Zip | 92010-7018
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Country | US
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Telephone | 916-476-7344
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4141
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City | CARLSBAD
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State | CA
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Zip | 92018-4141
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 110356
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License Number State | CA
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