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General NPI Number Information
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NPI Number | 1609387604
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Entity Type | Individual
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Provider Name | KIMBERLY SUE BURCIAGA CADCI
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Gender | Female
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 12/15/2025
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Provider Practice Location Address
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Address Line | 515 COLUMBIA AVE STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90017-1209
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Country | US
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Telephone | 213-249-9388
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Fax | 213-389-7993
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Provider Business Mailing Address
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Address Line | 11100 ARTESIA BLVD STE A
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City | CERRITOS
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State | CA
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Zip | 90703-2547
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Country | US
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Telephone | 562-865-1733
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Fax | 562-865-1733
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | CICA02730220
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License Number State | CA
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