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General NPI Number Information
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NPI Number | 1811489040
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Entity Type | Individual
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Provider Name | JENNIFER YUN M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2018
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Last Update Date | 06/04/2018
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Provider Practice Location Address
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Address Line | 409 JACKSON ST
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City | HAYWARD
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State | CA
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Zip | 94544-1530
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Country | US
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Telephone | 858-349-7570
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Fax |
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Provider Business Mailing Address
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Address Line | 1031 VIA BREGANI
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City | SAN LORENZO
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State | CA
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Zip | 94580-1413
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 105171
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License Number State | CA
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