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General NPI Number Information
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NPI Number | 1649180670
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Entity Type | Individual
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Provider Name | EMILY ANN BARTON SUDRCI
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Gender | Female
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Dates
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Enumeration Date | 09/10/2026
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Last Update Date | 09/10/2026
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Provider Practice Location Address
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Address Line | 30 JOSEPH CT
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City | SAN RAFAEL
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State | CA
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Zip | 94903-2664
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Country | US
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Telephone | 415-785-4993
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Fax | 415-599-4362
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Provider Business Mailing Address
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Address Line | 2105 SADDLEBRED DR
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City | FAIRFIELD
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State | CA
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Zip | 94534-7459
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Country | US
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Telephone | 575-271-8724
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 26754
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License Number State | CA
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