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General NPI Number Information
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NPI Number | 1104313527
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Entity Type | Individual
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Provider Name | LLOYD KIM LMFT
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Gender | Male
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Dates
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Enumeration Date | 04/20/2018
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Last Update Date | 07/12/2022
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Provider Practice Location Address
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Address Line | 10929 SOUTH STREET SUITE #208B
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City | CERRITOS
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State | CA
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Zip | 90703
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Country | US
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Telephone | 562-924-5526
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Fax |
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Provider Business Mailing Address
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Address Line | P.O. BOX 9443
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City | BREA
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State | CA
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Zip | 92822
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Country | US
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Telephone | 714-257-5245
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | AMFT113676
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT133660
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License Number State | CA
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