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General NPI Number Information
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NPI Number | 1124423926
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Entity Type | Individual
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Provider Name | YUSHAN HSIEH CHUNG MPH, LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/23/2014
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Last Update Date | 04/17/2024
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Provider Practice Location Address
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Address Line | 1954 KATELAND CT
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City | APEX
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State | NC
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Zip | 27502-6611
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Country | US
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Telephone | 646-397-0624
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Fax |
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Provider Business Mailing Address
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Address Line | 1954 KATELAND CT
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City | APEX
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State | NC
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Zip | 27502-6611
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Country | US
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Telephone | 646-397-0624
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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 | C013947
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 44SC05895800
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 088374
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License Number State | NY
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