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General NPI Number Information
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NPI Number | 1619302189
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Entity Type | Individual
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Provider Name | REBECCA RYE HYANG SON YU LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/03/2013
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Last Update Date | 09/20/2018
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Provider Practice Location Address
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Address Line | 960 E GREEN ST STE 203
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City | PASADENA
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State | CA
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Zip | 91106-2401
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Country | US
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Telephone | 323-505-2183
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7006
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City | ALHAMBRA
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State | CA
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Zip | 91802-7006
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Country | US
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Telephone | 619-495-6936
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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 | IMF75671
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT101315
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License Number State | CA
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