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General NPI Number Information
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NPI Number | 1104527605
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Entity Type | Individual
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Provider Name | TIN YAN YEUNG LCSW
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Gender | Female
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 749 61ST ST
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City | BROOKLYN
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State | NY
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Zip | 11220-5162
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Country | US
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Telephone | 718-362-6311
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Fax |
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Provider Business Mailing Address
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Address Line | 3443 CRESCENT ST APT 2J
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City | ASTORIA
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State | NY
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Zip | 11106-3961
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Country | US
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Telephone | 408-382-9197
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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 | 101160
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 11577801
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License Number State | NY
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