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General NPI Number Information
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NPI Number | 1154537207
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Entity Type | Individual
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Provider Name | ANGELA RENEE WURTZEL M.A., M.F.T
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Gender | Female
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Dates
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Enumeration Date | 05/15/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 27 E VICTORIA ST REAR COTTAGE
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2619
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Country | US
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Telephone | 805-884-9794
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Fax | 805-884-9794
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Provider Business Mailing Address
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Address Line | 27 E VICTORIA ST REAR COTTAGE
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City | SANTA BARBARA
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State | CA
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Zip | 93101-2619
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Country | US
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Telephone | 805-884-9794
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Fax | 805-884-9794
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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 | 33686
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License Number State | CA
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