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General NPI Number Information
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NPI Number | 1154829240
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Entity Type | Individual
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Provider Name | ABRAHAM HONGXING KOU LPC
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Gender | Male
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Dates
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Enumeration Date | 01/24/2018
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Last Update Date | 05/30/2024
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Provider Practice Location Address
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Address Line | 2621 GREEN RIVER RD STE 105
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City | CORONA
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State | CA
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Zip | 92882-7454
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Country | US
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Telephone | 215-278-9128
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Fax | 267-443-6190
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Provider Business Mailing Address
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Address Line | 2 BALA PLZ STE 300
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City | BALA CYNWYD
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State | PA
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Zip | 19004-1512
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Country | US
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Telephone | 215-278-9128
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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