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General NPI Number Information
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NPI Number | 1265914386
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Entity Type | Individual
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Provider Name | SHUANG LIU LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/05/2018
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Last Update Date | 12/02/2021
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Provider Practice Location Address
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Address Line | 1635 W MAIN ST # 100
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City | ALHAMBRA
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State | CA
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Zip | 91801-1951
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Country | US
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Telephone | 626-248-1800
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Fax |
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Provider Business Mailing Address
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Address Line | 626 E CALIFORNIA BLVD
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City | PASADENA
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State | CA
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Zip | 91106-3814
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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 | 115054
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT129412
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License Number State | CA
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