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General NPI Number Information
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NPI Number | 1346887171
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Entity Type | Individual
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Provider Name | ALEXANDER YOO LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/27/2019
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Last Update Date | 11/27/2019
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Provider Practice Location Address
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Address Line | 959 3/4 S KINGSLEY DR
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City | LOS ANGELES
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State | CA
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Zip | 90006-1215
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Country | US
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Telephone | 310-595-0447
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Fax |
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Provider Business Mailing Address
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Address Line | 9720 WILSHIRE BLVD STE 710
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City | BEVERLY HILLS
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State | CA
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Zip | 90212-2016
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Country | US
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Telephone | 323-834-9828
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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 | 102886
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License Number State | CA
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