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General NPI Number Information
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NPI Number | 1326842311
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Entity Type | Individual
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Provider Name | HYOSOOK PARK LAMFT
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Gender | Female
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Dates
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Enumeration Date | 04/01/2025
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Last Update Date | 04/01/2025
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Provider Practice Location Address
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Address Line | 321 S STATE COIIEGE BLVD
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City | ANAHEIM
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State | CA
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Zip | 92806
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Country | US
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Telephone | 310-739-0132
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Fax |
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Provider Business Mailing Address
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Address Line | 141 BOULEVARD
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City | NEW MILFORD
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State | NJ
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Zip | 07646-1701
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Country | US
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Telephone | 201-574-5730
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Fax | 201-574-5720
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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 | 37FA41000
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License Number State | NJ
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