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General NPI Number Information
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NPI Number | 1891980298
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Entity Type | Individual
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Provider Name | JAMES L YU M.A
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Gender | Male
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Dates
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Enumeration Date | 09/09/2007
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Last Update Date | 09/09/2007
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Provider Practice Location Address
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Address Line | 120 W 57TH ST JBFCS 10TH FLOOR--GREENBURGH CLINIC
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City | NEW YORK
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State | NY
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Zip | 10019-3320
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Country | US
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Telephone | 212-632-4703
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Fax |
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Provider Business Mailing Address
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Address Line | 468 ANDOVER PL
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City | EAST BRUNSWICK
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State | NJ
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Zip | 08816-5121
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Country | US
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Telephone | 184-824-8613
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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