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General NPI Number Information
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NPI Number | 1013246495
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Entity Type | Individual
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Provider Name | MELISSA L JINARIU PSY.D., LMFT
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Gender | Female
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Dates
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Enumeration Date | 12/15/2009
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Last Update Date | 06/13/2022
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Provider Practice Location Address
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Address Line | 3671 BUSINESS CENTER DR.
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City | SACRAMENTO
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State | CA
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Zip | 95820
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Country | US
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Telephone | 916-734-2278
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Fax | 916-734-4150
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Provider Business Mailing Address
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Address Line | 27201 TOURNEY RD STE 201G
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City | VALENCIA
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State | CA
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Zip | 91355-1804
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Country | US
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Telephone | 661-904-0088
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | PSY26316
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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