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General NPI Number Information
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NPI Number | 1235332966
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Entity Type | Individual
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Provider Name | MITZE ANGELICA BURNETT B.S.W., M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 06/08/2007
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Last Update Date | 11/26/2024
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Provider Practice Location Address
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Address Line | 3419 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2414
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Country | US
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Telephone | 707-299-8250
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Fax | 707-635-8215
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Provider Business Mailing Address
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Address Line | 3419 VALLE VERDE DR
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City | NAPA
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State | CA
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Zip | 94558-2414
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Country | US
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Telephone | 707-299-8250
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Fax | 707-635-8215
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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 | IMF 50552
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License Number State | CA
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