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General NPI Number Information
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NPI Number | 1922753177
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Entity Type | Individual
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Provider Name | ALYSSA TALMADGE
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Gender | Female
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Dates
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Enumeration Date | 02/16/2022
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Last Update Date | 10/01/2025
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Provider Practice Location Address
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Address Line | 4805 GOLDEN FOOTHILL PKWY
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City | EL DORADO HILLS
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State | CA
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Zip | 95762-9651
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Country | US
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Telephone | 530-644-2412
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Fax |
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Provider Business Mailing Address
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Address Line | 4485 ANATOLIA DR
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City | RANCHO CORDOVA
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State | CA
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Zip | 95742-8054
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Country | US
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Telephone | 916-903-6308
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 158373
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License Number State | CA
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