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General NPI Number Information
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NPI Number | 1295329555
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Entity Type | Organization
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Legal Business Name | TSUNG -YI ARENE TUAN, LICENSED CLINICAL SOCIAL WORKER INC.
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Dates
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Enumeration Date | 02/25/2021
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Last Update Date | 02/25/2021
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Provider Practice Location Address
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Address Line | 25 S RAYMOND AVE
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City | ALHAMBRA
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State | CA
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Zip | 91801-3128
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Country | US
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Telephone | 626-789-5217
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W VALLEY BLVD # A8
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City | ALHAMBRA
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State | CA
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Zip | 91803-3338
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Country | US
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Telephone | 626-789-5217
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | TSUNGYI ARENE TUAN
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Credential |
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Telephone | 626-789-5217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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