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General NPI Number Information
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NPI Number | 1942892617
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Entity Type | Individual
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Provider Name | ROSE LEUNG PSY.D.
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Gender | Female
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Dates
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Enumeration Date | 02/04/2021
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Last Update Date | 02/04/2021
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Provider Practice Location Address
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Address Line | 231 NORMAN AVE STE 314
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City | BROOKLYN
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State | NY
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Zip | 11222-1559
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Country | US
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Telephone | 631-291-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 12225 REGAL SPRINGS CT
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City | LAS VEGAS
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State | NV
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Zip | 89138-1121
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Country | US
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Telephone | 631-291-2825
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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 | 011077
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License Number State | NY
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