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General NPI Number Information
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NPI Number | 1538731765
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Entity Type | Organization
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Legal Business Name | TELEMYVISIT YIM PLLC
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Dates
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Enumeration Date | 07/16/2021
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Last Update Date | 12/20/2021
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Provider Practice Location Address
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Address Line | 4500 9TH AVE NE STE 300
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City | SEATTLE
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State | WA
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Zip | 98105-4762
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Country | US
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Telephone | 877-622-0229
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Fax | 425-504-8009
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Provider Business Mailing Address
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Address Line | 3183 WILSHIRE BLVD # 196D36
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City | LOS ANGELES
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State | CA
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Zip | 90010-1211
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Country | US
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Telephone | 877-622-0229
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Fax | 425-504-8009
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JANELLE YIM
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Credential | NP
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Telephone | 877-622-0229
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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