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General NPI Number Information
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NPI Number | 1386068336
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Entity Type | Individual
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Provider Name | BRENNA BURKE
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Gender | Female
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Dates
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Enumeration Date | 02/11/2014
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Last Update Date | 09/25/2019
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Provider Practice Location Address
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Address Line | 28494 WESTINGHOUSE PL STE 201
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City | VALENCIA
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State | CA
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Zip | 91355-0933
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Country | US
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Telephone | 661-803-7532
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Fax |
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Provider Business Mailing Address
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Address Line | 24017 ARROYO PARK DR UNIT 35
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City | VALENCIA
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State | CA
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Zip | 91355-3733
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Country | US
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Telephone | 661-803-7532
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LMFT93346
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License Number State | CA
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