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General NPI Number Information
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NPI Number | 1194409672
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Entity Type | Individual
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Provider Name | XIAO YANG PHD
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Gender | Female
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Dates
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Enumeration Date | 06/14/2023
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Last Update Date | 05/13/2025
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Provider Practice Location Address
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Address Line | 600 N WOLFE ST
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City | BALTIMORE
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State | MD
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Zip | 21287-0005
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Country | US
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Telephone | 917-691-6931
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Fax |
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Provider Business Mailing Address
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Address Line | 600 N WOLFE ST
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City | BALTIMORE
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State | MD
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Zip | 21287-0005
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Country | US
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Telephone | 410-955-3268
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 07196
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 0810008573
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License Number State | VA
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