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General NPI Number Information
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NPI Number | 1336678457
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Entity Type | Individual
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Provider Name | YASIN K AQUIL
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Gender | Male
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Dates
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Enumeration Date | 06/12/2017
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Last Update Date | 11/26/2025
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Provider Practice Location Address
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Address Line | 4508 ATLANTIC AVE STE A226
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City | LONG BEACH
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State | CA
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Zip | 90807-1520
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Country | US
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Telephone | 562-739-4839
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Fax |
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Provider Business Mailing Address
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Address Line | 4508 ATLANTIC AVE STE A
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City | LONG BEACH
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State | CA
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Zip | 90807-1521
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Country | US
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Telephone | 562-739-4839
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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 | 100729
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License Number State | CA
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