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NPI 1437631082

NPI 1437631082 : RENEE L HONG LMFT : ALHAMBRA, CA

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General NPI Number Information
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    NPI Number           |    1437631082
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    Entity Type          |    Individual 
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    Provider Name        |    RENEE L HONG LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/30/2018
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    Last Update Date     |    05/10/2022
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Provider Practice Location Address
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    Address Line         |    808 N 2ND ST APT 203 
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    City                 |    ALHAMBRA
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    State                |    CA
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    Zip                  |    91801-1301
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    Country              |    US
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    Telephone            |    626-604-1990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10 W BAY STATE ST UNIT 1444 
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    City                 |    ALHAMBRA
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    State                |    CA
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    Zip                  |    91802-2860
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    Country              |    US
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    Telephone            |    626-604-1990
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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       |    127699
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    License Number State |    CA
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