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General NPI Number Information
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NPI Number | 1447105697
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Entity Type | Individual
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Provider Name | JIAHAO YANG
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Gender | Male
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Dates
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Enumeration Date | 03/03/2026
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Last Update Date | 03/03/2026
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Provider Practice Location Address
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Address Line | 465 GRAND ST
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City | NEW YORK
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State | NY
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Zip | 10002-7477
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Country | US
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Telephone | 212-420-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 4325 HUNTER ST APT 3206W
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City | LONG ISLAND CITY
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State | NY
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Zip | 11101-4672
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Country | US
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Telephone | 929-239-6091
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | MHC-P127448
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License Number State | NY
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