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General NPI Number Information
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NPI Number | 1669948212
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Entity Type | Individual
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Provider Name | MICAELA BADUE
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Gender | Female
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Dates
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Enumeration Date | 10/22/2018
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Last Update Date | 06/26/2025
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Provider Practice Location Address
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Address Line | 6615 VALLEY HI DR
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City | SACRAMENTO
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State | CA
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Zip | 95823-7076
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Country | US
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Telephone | 916-450-2650
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Fax |
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Provider Business Mailing Address
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Address Line | 5960 S LAND PARK DR # 1108
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City | SACRAMENTO
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State | CA
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Zip | 95822-3313
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Country | US
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Telephone | 916-712-0439
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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 | 101Y00000X
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Taxonomy Name | 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 | 147592
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License Number State | CA
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