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General NPI Number Information
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NPI Number | 1457587784
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Entity Type | Individual
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Provider Name | JIN SU YOO PH. D.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2009
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 2737 W CECIL AVE
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City | DELANO
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State | CA
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Zip | 93215-1821
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Country | US
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Telephone | 661-721-2345
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 20622
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City | BAKERSFIELD
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State | CA
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Zip | 93390-0622
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 31669
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License Number State | CA
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