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General NPI Number Information
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NPI Number | 1023377017
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Entity Type | Individual
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Provider Name | JOELLE RABOW MALETIS MA.ED, MA., LMFT
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Gender | Female
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Dates
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Enumeration Date | 05/10/2012
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Last Update Date | 05/10/2012
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Provider Practice Location Address
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Address Line | 292 GIBRALTAR DR SUITE 100
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City | SUNNYVALE
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State | CA
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Zip | 94089-1382
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Country | US
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Telephone | 408-375-5803
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Fax | 408-462-9990
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Provider Business Mailing Address
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Address Line | 292 GIBRALTAR DR SUITE 100
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City | SUNNYVALE
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State | CA
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Zip | 94089-1382
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Country | US
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Telephone | 408-480-4157
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Fax | 408-462-9990
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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 | MFC51094
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License Number State | CA
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