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NPI 1851424626

NPI 1851424626 : JUDITH ARGALL DALZIEL MFT : SACRAMENTO, CA

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General NPI Number Information
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    NPI Number           |    1851424626
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    Entity Type          |    Individual 
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    Provider Name        |    JUDITH ARGALL DALZIEL MFT
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    03/13/2007
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    Last Update Date     |    07/08/2007
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Provider Practice Location Address
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    Address Line         |    1330 21ST STREET SUITE 201
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95814-4224
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    Country              |    US
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    Telephone            |    916-447-9300
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    Fax                  |    916-447-9210
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Provider Business Mailing Address
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    Address Line         |    PO BOX 191362 
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    City                 |    SACRAMENTO
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    State                |    CA
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    Zip                  |    95819-1362
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    Country              |    US
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    Telephone            |    916-447-9300
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    Fax                  |    916-447-9210
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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       |    MFC36499
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    License Number State |    CA
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