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General NPI Number Information
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NPI Number | 1760908206
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Entity Type | Individual
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Provider Name | KENT YUEN
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Gender | Male
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Dates
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Enumeration Date | 08/16/2017
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Last Update Date | 11/21/2024
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Provider Practice Location Address
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Address Line | 303 5TH AVE RM 804
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City | NEW YORK
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State | NY
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Zip | 10016-6683
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Country | US
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Telephone | 917-608-6154
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Fax |
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Provider Business Mailing Address
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Address Line | 475 FDR DR APT L1501
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City | NEW YORK
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State | NY
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Zip | 10002-2787
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Country | US
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Telephone | 917-608-6154
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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 | 102L00000X
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Taxonomy Name | Psychoanalyst
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License Number | 001147
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License Number State | NY
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