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General NPI Number Information
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NPI Number | 1760398986
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Entity Type | Individual
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Provider Name | SARA JULIANA BURT
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Gender | Female
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Dates
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Enumeration Date | 08/19/2026
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Last Update Date | 08/19/2026
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Provider Practice Location Address
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Address Line | 28755 EL TORO RD
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City | LAKE ELSINORE
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State | CA
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Zip | 92532-1912
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Country | US
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Telephone | 951-253-7250
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Fax |
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Provider Business Mailing Address
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Address Line | 545 CHANEY ST
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City | LAKE ELSINORE
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State | CA
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Zip | 92530-2712
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Country | US
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Telephone | 951-253-7000
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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 | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number | ASW130365
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License Number State | CA
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