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General NPI Number Information
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NPI Number | 1093004053
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Entity Type | Organization
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Legal Business Name | DOROTHY YANG LCSW P.C.
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Dates
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Enumeration Date | 03/30/2011
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Last Update Date | 11/30/2016
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Provider Practice Location Address
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Address Line | 98 RIVERSIDE DR SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10024-5323
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Country | US
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Telephone | 212-799-8563
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Fax |
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Provider Business Mailing Address
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Address Line | 98 RIVERSIDE DR SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10024-5323
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Country | US
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Telephone | 212-799-8563
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DOROTHY YANG
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Credential | L.C.S.W.
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Telephone | 212-799-8563
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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 | R076710
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License Number State | NY
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