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General NPI Number Information
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NPI Number | 1346609518
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Entity Type | Organization
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Legal Business Name | SHARON YU
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Dates
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Enumeration Date | 02/17/2016
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Last Update Date | 02/17/2016
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Provider Practice Location Address
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Address Line | 2440 S HACIENDA BLVD STE 112
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-4763
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Country | US
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Telephone | 626-538-7561
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Fax |
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Provider Business Mailing Address
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Address Line | 2440 S HACIENDA BLVD STE 112
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City | HACIENDA HEIGHTS
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State | CA
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Zip | 91745-4763
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Country | US
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Telephone | 626-538-7561
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | SHARON YU
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Credential | M.A. LMFT
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Telephone | 626-538-7561
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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 | 50028
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License Number State | CA
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