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General NPI Number Information
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NPI Number | 1629324611
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Entity Type | Individual
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Provider Name | BRIE ALEXANDRIA EDWARDS M.A., LMFT
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Gender | Female
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Dates
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Enumeration Date | 07/27/2012
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Last Update Date | 06/21/2021
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Provider Practice Location Address
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Address Line | 957 BLANCO CIR
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City | SALINAS
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State | CA
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Zip | 93901-4447
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Country | US
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Telephone | 831-784-2152
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Fax |
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Provider Business Mailing Address
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Address Line | 496 LAVELL CT
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City | MARINA
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State | CA
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Zip | 93933-3410
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Country | US
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Telephone | 714-655-3926
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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 | 108747
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License Number State | CA
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