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General NPI Number Information
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NPI Number | 1629435524
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Entity Type | Individual
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Provider Name | ANNA YAM PHD
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Gender | Female
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Dates
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Enumeration Date | 01/22/2016
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Last Update Date | 11/06/2021
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Provider Practice Location Address
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Address Line | 310 S TWIN OAKS VALLEY RD # 107-474
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City | SAN MARCOS
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State | CA
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Zip | 92078-4303
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Country | US
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Telephone | 760-580-2358
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Fax | 858-203-0737
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Provider Business Mailing Address
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Address Line | 310 S TWIN OAKS VALLEY RD # 107-474
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City | SAN MARCOS
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State | CA
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Zip | 92078-4303
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Country | US
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Telephone | 760-580-2358
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Fax | 858-203-0737
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY27651
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License Number State | CA
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