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General NPI Number Information
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NPI Number | 1720208143
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Entity Type | Individual
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Provider Name | KAREN M. YOUNG LMFT
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Gender | Female
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 05/23/2018
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Provider Practice Location Address
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Address Line | 1447 W BEVERLY BLVD
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City | MONTEBELLO
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State | CA
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Zip | 90640
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Country | US
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Telephone | 626-377-2272
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Fax | 626-270-4164
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Provider Business Mailing Address
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Address Line | 417 E. MISSION RD., #16
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City | ALHAMBRA
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State | CA
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Zip | 91801
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Country | US
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Telephone | 626-282-0358
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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 | MFC 50631
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License Number State | CA
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