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General NPI Number Information
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NPI Number | 1215486915
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Entity Type | Individual
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Provider Name | JOSEPH SOEUNG MD
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Gender | Male
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Dates
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Enumeration Date | 09/23/2016
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Last Update Date | 01/16/2025
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Provider Practice Location Address
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Address Line | 1411 S GARFIELD AVE STE 303
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City | ALHAMBRA
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State | CA
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Zip | 91801-5043
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Country | US
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Telephone | 562-719-5137
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Fax |
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Provider Business Mailing Address
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Address Line | 1760 TERMINO AVE STE 301
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City | LONG BEACH
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State | CA
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Zip | 90804-2105
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Country | US
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Telephone | 626-214-5899
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Fax | 949-577-4335
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A174903
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License Number State | CA
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