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General NPI Number Information
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NPI Number | 1245607134
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Entity Type | Individual
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Provider Name | YASUNO YOSHIZAWA MA, MFT, ATR-BC
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Gender | Female
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Dates
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Enumeration Date | 08/26/2015
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Last Update Date | 09/14/2020
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Provider Practice Location Address
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Address Line | 2790 SKYPARK DR STE 305
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City | TORRANCE
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State | CA
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Zip | 90505-5388
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Country | US
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Telephone | 310-943-9675
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Fax | 310-943-9675
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Provider Business Mailing Address
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Address Line | 2510 MONTEREY ST. P.O.BOX #4066
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City | TORRANCE
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State | CA
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Zip | 90503-9998
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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 | 88594
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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 | 112040
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License Number State | CA
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