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General NPI Number Information
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NPI Number | 1003577958
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Entity Type | Organization
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Legal Business Name | RAINCROSS FAMILY COUNSELING
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Dates
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Enumeration Date | 01/04/2022
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Last Update Date | 01/04/2022
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Provider Practice Location Address
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Address Line | 6800 INDIANA AVE STE 130
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City | RIVERSIDE
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State | CA
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Zip | 92506-4266
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Country | US
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Telephone | 661-992-2650
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Fax | 951-406-4377
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Provider Business Mailing Address
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Address Line | 17480 HEIGHTS LN
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City | RIVERSIDE
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State | CA
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Zip | 92503-7093
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Country | US
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Telephone | 661-992-2650
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Fax | 951-406-4377
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Authorized Official
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Title or Position | OWNER
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Name | MRS. REBA JOYCE MACHADO
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Credential | LMFT
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Telephone | 661-992-2650
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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 |
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License Number State |
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