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General NPI Number Information
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NPI Number | 1659704542
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Entity Type | Individual
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Provider Name | MRS. SARAH HANEM IZAGUIRRE
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Gender | Female
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Dates
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Enumeration Date | 08/14/2013
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Last Update Date | 02/12/2026
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Provider Practice Location Address
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Address Line | 2305 HISTORIC DECATUR RD STE 100
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City | SAN DIEGO
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State | CA
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Zip | 92106
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Country | US
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Telephone | 619-720-2816
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Fax |
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Provider Business Mailing Address
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Address Line | 1321 GREENFIELD DR UNIT 8
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City | EL CAJON
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State | CA
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Zip | 92021-3409
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Country | US
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Telephone | 619-720-2816
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 85756
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 104760
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License Number State | CA
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