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General NPI Number Information
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NPI Number | 1518479682
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Entity Type | Organization
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Legal Business Name | YU-AN WANG, INC
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Dates
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Enumeration Date | 10/30/2017
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Last Update Date | 09/03/2022
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Provider Practice Location Address
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Address Line | 200 1ST AVE W STE 400
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City | SEATTLE
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State | WA
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Zip | 98119
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Country | US
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Telephone | 425-686-8927
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Fax |
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Provider Business Mailing Address
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Address Line | 12506 128TH LN NE
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City | KIRKLAND
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State | WA
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Zip | 98034-7720
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Country | US
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Telephone | 847-505-3353
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Fax |
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Authorized Official
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Title or Position | PRINCIPAL
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Name | YU-AN WANG
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Credential | LMHC, NCC, MA
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Telephone | 847-505-3353
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number | LH60792410
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License Number State | WA
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