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General NPI Number Information
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NPI Number | 1477964062
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Entity Type | Individual
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Provider Name | PO YEE FUNG LPCC
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Gender | Female
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Dates
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Enumeration Date | 05/16/2014
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 939 ELLIS ST
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City | SAN FRANCISCO
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State | CA
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Zip | 94109-7714
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Country | US
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Telephone | 646-283-5391
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Fax |
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Provider Business Mailing Address
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Address Line | 2410 FLEETWOOD DR
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City | SAN BRUNO
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State | CA
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Zip | 94066-1924
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Country | US
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Telephone | 646-283-5391
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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 | 007794
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State | CA
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