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General NPI Number Information
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NPI Number | 1609366210
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Entity Type | Individual
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Provider Name | ANGELA VENDA
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Gender | Female
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Dates
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Enumeration Date | 05/18/2018
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 2108 N ST STE N
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City | SACRAMENTO
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State | CA
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Zip | 95816-5712
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Country | US
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Telephone | 619-576-4020
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Fax | 888-267-8549
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Provider Business Mailing Address
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Address Line | 7533 S CENTER VIEW CT # 4393
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City | WEST JORDAN
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State | UT
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Zip | 84084-5526
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Country | US
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Telephone | 619-576-4020
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Fax | 888-267-8549
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 12929
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 32761
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 12996862-2501
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License Number State | UT
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