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General NPI Number Information
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NPI Number | 1366139123
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Entity Type | Individual
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Provider Name | MRS. REBECCA LOUVE YAO
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Gender | Female
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Dates
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Enumeration Date | 04/21/2023
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Last Update Date | 04/21/2023
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Provider Practice Location Address
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Address Line | 1015 15TH ST NW STE 600
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City | WASHINGTON
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State | DC
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Zip | 20005-2605
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Country | US
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Telephone | 707-752-1334
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Fax |
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Provider Business Mailing Address
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Address Line | 409 BOSTON AVE
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City | TAKOMA PARK
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State | MD
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Zip | 20912-4133
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Country | US
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Telephone | 707-752-1334
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW106748
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LC200002461
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License Number State | DC
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