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General NPI Number Information
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NPI Number | 1326994781
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Entity Type | Individual
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Provider Name | ANDREA YOUNG PUPIL PERSONNEL
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Gender | Female
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Dates
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Enumeration Date | 03/09/2026
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Last Update Date | 03/09/2026
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Provider Practice Location Address
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Address Line | 18726 S WESTERN AVE STE 320
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City | GARDENA
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State | CA
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Zip | 90248-3812
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Country | US
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Telephone | 562-618-9190
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Fax |
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Provider Business Mailing Address
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Address Line | 15507 S NORMANDIE AVE # 504
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City | GARDENA
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State | CA
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Zip | 90247-4013
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Country | US
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Telephone | 562-618-9190
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 250057994
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License Number State | CA
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