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General NPI Number Information
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NPI Number | 1952836330
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Entity Type | Individual
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Provider Name | CAYLA JADE LEUNG
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Gender | Female
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Dates
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Enumeration Date | 04/24/2017
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Last Update Date | 02/13/2024
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Provider Practice Location Address
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Address Line | 222 SE 8TH AVE STE 212
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City | HILLSBORO
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State | OR
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Zip | 97123-4218
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Country | US
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Telephone | 503-352-7333
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Fax |
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Provider Business Mailing Address
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Address Line | 1459 OXFORD RD NE STE 301
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City | ATLANTA
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State | GA
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Zip | 30307-1046
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Country | US
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Telephone | 404-860-2339
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY004699
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License Number State | GA
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