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General NPI Number Information
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NPI Number | 1356510754
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Entity Type | Organization
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Legal Business Name | BRENDA L. MORELOS LMFT
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Dates
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Enumeration Date | 02/29/2008
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Last Update Date | 02/29/2008
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Provider Practice Location Address
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Address Line | 25 CADILLAC DR STE 105
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City | SACRAMENTO
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State | CA
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Zip | 95825-8350
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Country | US
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Telephone | 916-979-6115
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Fax | 916-489-8184
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Provider Business Mailing Address
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Address Line | 25 CADILLAC DR STE 105
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City | SACRAMENTO
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State | CA
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Zip | 95825-8350
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Country | US
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Telephone | 916-979-6115
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Fax | 916-489-8184
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Authorized Official
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Title or Position | MARRIAGE AND FAMILY THERAPIST
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Name | MRS. BRENDA LEE MORELOS
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Credential | LMFT
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Telephone | 916-979-6115
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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 | MFC36716
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License Number State | CA
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