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General NPI Number Information
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NPI Number | 1235605247
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Entity Type | Individual
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Provider Name | ANGELA YEUNG
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Gender | Female
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Dates
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Enumeration Date | 10/17/2018
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Last Update Date | 05/12/2022
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Provider Practice Location Address
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Address Line | 29-27 40TH RD 11TH FLOOR
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101
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Country | US
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Telephone | 347-881-7825
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Fax |
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Provider Business Mailing Address
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Address Line | 29-27 40TH RD
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101
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Country | US
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Telephone | 347-881-7825
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 705805
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 402695
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License Number State | NY
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