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General NPI Number Information
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NPI Number | 1306760632
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Entity Type | Individual
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Provider Name | JIATIAN YUE
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Gender | Female
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 155 KINGSLEY LN STE 320
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City | NORFOLK
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State | VA
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Zip | 23505-4629
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Country | US
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Telephone | 757-393-6363
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Fax |
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Provider Business Mailing Address
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Address Line | 30622 FINBROOK RD
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City | MURRIETA
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State | CA
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Zip | 92563-2817
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Country | US
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Telephone |
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 0024198308
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License Number State | VA
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