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General NPI Number Information
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NPI Number | 1609201581
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Entity Type | Individual
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Provider Name | YIA YANG
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Gender | Male
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Dates
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Enumeration Date | 09/10/2013
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 1101 E UNIVERSITY AVE
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City | FRESNO
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State | CA
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Zip | 93741-3433
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Country | US
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Telephone | 559-443-8698
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Fax |
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Provider Business Mailing Address
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Address Line | 5482 E EUGENIA AVE
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City | FRESNO
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State | CA
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Zip | 93727-6382
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Country | US
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Telephone | 559-250-6823
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW89179
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License Number State | CA
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