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General NPI Number Information
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NPI Number | 1265047047
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Entity Type | Individual
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Provider Name | ANISSA YORK PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 09/09/2020
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Last Update Date | 02/20/2024
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Provider Practice Location Address
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Address Line | 700 SONOMA AISLE
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City | IRVINE
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State | CA
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Zip | 92618-3911
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Country | US
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Telephone | 619-333-3963
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Fax |
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Provider Business Mailing Address
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Address Line | 2234 N FEDERAL HWY # 1214
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City | BOCA RATON
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State | FL
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Zip | 33431-7710
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Country | US
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Telephone | 619-333-3963
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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 | PY9827
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License Number State | FL
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