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General NPI Number Information
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NPI Number | 1063309557
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Entity Type | Individual
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Provider Name | SUNG YEO PMHNP
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Gender | Male
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 8142 SUNLAND BLVD
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City | SUN VALLEY
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State | CA
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Zip | 91352-3948
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Country | US
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Telephone | 213-248-2225
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Fax |
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Provider Business Mailing Address
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Address Line | 8142 SUNLAND BLVD
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City | SUN VALLEY
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State | CA
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Zip | 91352-3948
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Country | US
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Telephone | 818-582-8832
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95028443
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License Number State | CA
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