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General NPI Number Information
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NPI Number | 1285887885
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Entity Type | Individual
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Provider Name | ANGELA LANE MERINO LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/28/2008
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Last Update Date | 06/23/2020
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Provider Practice Location Address
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Address Line | 2238 MONTE VISTA AVE
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City | OROVILLE
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State | CA
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Zip | 95966-6956
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Country | US
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Telephone | 530-712-3499
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Fax | 530-534-7126
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Provider Business Mailing Address
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Address Line | 2238 MONTE VISTA AVE
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City | OROVILLE
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State | CA
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Zip | 95966-6956
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Country | US
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Telephone | 530-370-5247
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Fax | 530-534-7126
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | MFT119390
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License Number State | CA
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