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General NPI Number Information
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NPI Number | 1932516986
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Entity Type | Individual
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Provider Name | CHIA-YU JUDY YANG LCAT, LMHC, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 07/22/2014
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Last Update Date | 09/14/2016
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Provider Practice Location Address
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Address Line | 901 BOREN AVENUE SUITE 1300
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City | SEATTLE
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State | WA
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Zip | 98104
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Country | US
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Telephone | 425-610-7362
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Fax |
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Provider Business Mailing Address
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Address Line | 2640 PITKIN AVE
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City | BROOKLYN
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State | NY
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Zip | 11208
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Country | US
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Telephone | 718-827-8700
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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 | LH60401097
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 13-035
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 221700000X
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Taxonomy Name | Art Therapist
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License Number | 001901-1
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License Number State | NY
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