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General NPI Number Information
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NPI Number | 1265167027
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Entity Type | Individual
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Provider Name | DR. XIAOHUI YANG
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Gender | Female
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Dates
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Enumeration Date | 07/17/2022
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Last Update Date | 07/17/2022
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Provider Practice Location Address
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Address Line | 4045 ORCHARD RD SE
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City | SMYRNA
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State | GA
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Zip | 30080-4902
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Country | US
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Telephone | 770-293-1950
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Fax |
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Provider Business Mailing Address
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Address Line | 4667 TIGER BLVD
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City | DULUTH
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State | GA
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Zip | 30096-4439
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Country | US
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Telephone | 404-313-8183
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number | PSY004555
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License Number State | GA
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