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General NPI Number Information
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NPI Number | 1780071894
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Entity Type | Individual
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Provider Name | PAK NIN POON
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Gender | Male
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Dates
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Enumeration Date | 04/16/2015
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Last Update Date | 06/27/2023
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Provider Practice Location Address
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Address Line | 1961 W HUNTINGTON DR STE 200
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City | ALHAMBRA
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State | CA
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Zip | 91801-1222
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Country | US
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Telephone | 626-693-9661
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Fax |
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Provider Business Mailing Address
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Address Line | 1961 W HUNTINGTON DR STE 200
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City | ALHAMBRA
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State | CA
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Zip | 91801-1222
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LMFT1058218
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | IMF85521
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 4401-R
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License Number State | NV
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Taxonomy #4
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 204245
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License Number State | TX
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Taxonomy #5
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 105218
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License Number State | CA
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