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General NPI Number Information
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NPI Number | 1104567361
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Entity Type | Individual
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Provider Name | MAX YAO
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Gender |
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Dates
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Enumeration Date | 04/04/2022
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Last Update Date | 10/08/2025
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Provider Practice Location Address
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Address Line | 679 S NEW HAMPSHIRE AVE STE 400
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City | LOS ANGELES
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State | CA
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Zip | 90005-1355
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Country | US
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Telephone | 213-639-2500
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Fax |
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Provider Business Mailing Address
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Address Line | 500 S LAKE ST APT 314
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City | LOS ANGELES
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State | CA
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Zip | 90057-2770
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Country | US
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Telephone | 408-691-0521
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | ASW133276
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License Number State | CA
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