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General NPI Number Information
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NPI Number | 1154367357
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Entity Type | Individual
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Provider Name | EMMY SHINJU CHANG LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/22/2006
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Last Update Date | 03/08/2025
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Provider Practice Location Address
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Address Line | 650 W DUARTE RD STE 206
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City | ARCADIA
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State | CA
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Zip | 91007-7643
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Country | US
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Telephone | 626-236-2887
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Fax | 626-445-6818
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Provider Business Mailing Address
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Address Line | 139B ALICE ST
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City | ARCADIA
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State | CA
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Zip | 91006-3926
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Country | US
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Telephone | 626-236-2887
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Fax | 626-631-2736
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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 | 38998
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License Number State | CA
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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 | MFC 38998
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License Number State | CA
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