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General NPI Number Information
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NPI Number | 1073497400
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Entity Type | Individual
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Provider Name | ASHLEY BURCIAGA EDD
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Gender | Female
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Dates
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Enumeration Date | 07/31/2025
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Last Update Date | 07/31/2025
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Provider Practice Location Address
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Address Line | 6150 13TH ST
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City | SACRAMENTO
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State | CA
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Zip | 95831-1801
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Country | US
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Telephone | 415-845-0119
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 22944
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City | SACRAMENTO
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State | CA
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Zip | 95822-0944
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Country | US
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Telephone | 916-500-4344
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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 | 103TC1900X
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Taxonomy Name | Counseling Psychologist
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number | 4706
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TM1800X
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Taxonomy Name | Intellectual & Developmental Disabilities Psychologist
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License Number | 4706
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 4706
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License Number State | CA
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