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General NPI Number Information
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NPI Number | 1184323479
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Entity Type | Individual
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Provider Name | LAUREN KANG LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/27/2023
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Last Update Date | 02/27/2023
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Provider Practice Location Address
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Address Line | 2617 STREET RD # 316
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City | BENSALEM
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State | PA
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Zip | 19020-2864
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Country | US
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Telephone | 215-962-3309
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Fax |
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Provider Business Mailing Address
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Address Line | 16 4TH AVE
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City | BRISTOL
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State | PA
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Zip | 19007-3212
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Country | US
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Telephone |
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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 | MF001356
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License Number State | PA
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