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General NPI Number Information
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NPI Number | 1063888634
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Entity Type | Individual
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Provider Name | JUSTINA AI YUEN YUNG LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/18/2015
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Last Update Date | 08/18/2015
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Provider Practice Location Address
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Address Line | 7701 13TH AVE
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City | BROOKLYN
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State | NY
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Zip | 11228-2413
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Country | US
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Telephone | 646-532-1778
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Fax |
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Provider Business Mailing Address
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Address Line | 2147 2ND AVE APT 4A
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City | NEW YORK
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State | NY
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Zip | 10029-3210
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Country | US
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Telephone | 646-763-2008
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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 | 094872
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License Number State | NY
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