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General NPI Number Information
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NPI Number | 1518245414
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Entity Type | Individual
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Provider Name | MAYE YANG ASW #122311
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Gender | Female
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Dates
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Enumeration Date | 07/26/2011
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 2261 S WATNEY WAY
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City | FAIRFIELD
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State | CA
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Zip | 94533-6757
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Country | US
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Telephone | 530-383-9159
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Fax | 530-758-1386
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Provider Business Mailing Address
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Address Line | 285 W COURT ST STE 207
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City | WOODLAND
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State | CA
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Zip | 95695-2977
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Country | US
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Telephone | 530-383-9159
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 122311
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License Number State | CA
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