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General NPI Number Information
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NPI Number | 1396166849
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Entity Type | Individual
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Provider Name | YINY POVEDA LCSW
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Gender | Female
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Dates
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Enumeration Date | 01/01/2014
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Last Update Date | 01/19/2023
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Provider Practice Location Address
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Address Line | 1355 S INTERNATIONAL PKWY STE 1481
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City | LAKE MARY
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State | FL
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Zip | 32746-1694
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Country | US
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Telephone | 407-559-7011
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Fax |
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Provider Business Mailing Address
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Address Line | 810 FREEMANS FARM RD
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City | DELAND
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State | FL
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Zip | 32720-1413
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Country | US
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Telephone | 386-214-6648
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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 | ISW8365
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License Number State | FL
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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 | SW20911
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License Number State | FL
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