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General NPI Number Information
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NPI Number | 1588387914
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Entity Type | Individual
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Provider Name | SALLY YEUNG OTD
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Gender | Female
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Dates
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Enumeration Date | 09/21/2022
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Last Update Date | 09/21/2022
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Provider Practice Location Address
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Address Line | 7217 TELECOM PKWY STE 200
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City | GARLAND
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State | TX
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Zip | 75044-2205
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Country | US
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Telephone | 972-495-6986
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Fax |
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Provider Business Mailing Address
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Address Line | 413 GOLDEN MEADOW DR
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City | DESOTO
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State | TX
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Zip | 75115-7531
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Country | US
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Telephone | 214-952-4868
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 123050
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License Number State | TX
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