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General NPI Number Information
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NPI Number | 1922489863
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Entity Type | Individual
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Provider Name | YAO WANG LCSW
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Gender | Male
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Dates
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Enumeration Date | 06/16/2015
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Last Update Date | 05/14/2020
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Provider Practice Location Address
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Address Line | 6910 BELLAIRE BLVD STE 9
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City | HOUSTON
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State | TX
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Zip | 77074-3546
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Country | US
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Telephone | 832-798-8578
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Fax |
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Provider Business Mailing Address
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Address Line | 10923 PERENNIAL MIST DR
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City | MISSOURI CITY
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State | TX
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Zip | 77459-1387
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 54943
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License Number State | TX
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