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NPI 1831607407

NPI 1831607407 : MEGAN BONYNGE LMFT : IRVINE, CA

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General NPI Number Information
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    NPI Number           |    1831607407
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    Entity Type          |    Individual 
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    Provider Name        |    MEGAN BONYNGE LMFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/17/2018
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    Last Update Date     |    11/05/2025
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Provider Practice Location Address
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    Address Line         |    15333 CULVER DR STE 340 ATTN 2393
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92604
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    Country              |    US
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    Telephone            |    949-237-2907
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    15333 CULVER DR STE 340 ATTN 2393
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    City                 |    IRVINE
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    State                |    CA
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    Zip                  |    92604
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    LMFT10000505
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    License Number State |    MA
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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       |    MFT205908
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    License Number State |    TX
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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       |    LMFT113637
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    License Number State |    CA
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