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General NPI Number Information
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NPI Number | 1831749050
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Entity Type | Individual
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Provider Name | AMY YUN
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Gender | Female
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Dates
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Enumeration Date | 09/19/2019
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 714-872-6057
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Fax |
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Provider Business Mailing Address
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Address Line | 2829 S GRAND AVE
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City | LOS ANGELES
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State | CA
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Zip | 90007-3304
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 95029097
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95164134
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License Number State | CA
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