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General NPI Number Information
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NPI Number | 1881945699
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Entity Type | Individual
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Provider Name | PAO K YANG APSW
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Gender | Female
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Dates
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Enumeration Date | 09/20/2012
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Last Update Date | 09/20/2012
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Provider Practice Location Address
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Address Line | 402 TECHNOLOGY DR E
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City | MENOMONIE
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State | WI
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Zip | 54751-2370
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Country | US
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Telephone | 715-235-4245
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Fax | 715-235-4421
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Provider Business Mailing Address
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Address Line | 203 UNITED WAY
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City | FREDERIC
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State | WI
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Zip | 54837-8938
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Country | US
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Telephone | 715-327-4322
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Fax | 715-327-8509
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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 | 127657-121
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License Number State | WI
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