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General NPI Number Information
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NPI Number | 1558050641
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Entity Type | Organization
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Legal Business Name | SUE CIRILLO PA INC
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Dates
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Enumeration Date | 05/03/2023
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Last Update Date | 05/08/2025
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Provider Practice Location Address
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Address Line | 3885 RICHARDSON DR
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City | AUBURN
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State | CA
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Zip | 95602-8424
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Country | US
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Telephone | 530-613-1383
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Fax | 201-340-5595
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Provider Business Mailing Address
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Address Line | 11573 SHERWOOD WAY
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City | AUBURN
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State | CA
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Zip | 95602-8422
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Country | US
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Telephone | 530-613-1383
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Fax | 201-340-5595
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. SUSAN E CIRILLO
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Credential | LMFT
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Telephone | 530-613-1383
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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 |
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License Number State |
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