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General NPI Number Information
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NPI Number | 1801025333
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Entity Type | Individual
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Provider Name | MEGAN ELAINE BRUBAKER MS, MFT, MED
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Gender | Female
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Dates
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Enumeration Date | 07/06/2009
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Last Update Date | 08/29/2025
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Provider Practice Location Address
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Address Line | 1050 TRUMPET VINE LN
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City | SAN RAMON
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State | CA
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Zip | 94582-5188
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Country | US
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Telephone | 925-659-5816
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Fax |
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Provider Business Mailing Address
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Address Line | 1050 TRUMPET VINE LN
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City | SAN RAMON
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State | CA
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Zip | 94582-5188
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Country | US
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Telephone | 925-659-5816
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number | 240170086
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License Number State | CA
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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 | MFC 50708
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License Number State | CA
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