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General NPI Number Information
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NPI Number | 1760378285
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Entity Type | Individual
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Provider Name | ADRIANNE DACIA NEWBERN-BURRELL MFT
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Gender | Female
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Dates
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Enumeration Date | 06/13/2025
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Last Update Date | 07/28/2025
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Provider Practice Location Address
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Address Line | 3420 KENYON ST
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City | SAN DIEGO
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State | CA
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Zip | 92110-5001
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Country | US
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Telephone | 833-579-4848
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Fax | 619-221-6565
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Provider Business Mailing Address
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Address Line | 8251 PALM ST
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City | LEMON GROVE
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State | CA
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Zip | 91945-3328
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Country | US
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Telephone | 619-857-2569
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Fax | 619-221-6565
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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 | 155537
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License Number State | CA
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