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General NPI Number Information
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NPI Number | 1245700806
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Entity Type | Organization
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Legal Business Name | YANG YIN THERAPY LLC
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Dates
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Enumeration Date | 11/27/2018
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Last Update Date | 11/27/2018
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Provider Practice Location Address
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Address Line | 601 BRICKELL KEY DRIVE SUITE 728
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City | MIAMI
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State | FL
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Zip | 33131
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Country | US
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Telephone | 786-657-2762
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 940821
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City | MIAMI
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State | FL
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Zip | 33194
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Country | US
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Telephone | 516-298-6060
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MS. JENNIFER MARQUEZ
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Credential |
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Telephone | 786-257-2762
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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