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General NPI Number Information
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NPI Number | 1043580848
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Entity Type | Individual
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Provider Name | JUDY BETH RIGGAN LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/10/2012
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Last Update Date | 01/10/2012
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Provider Practice Location Address
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Address Line | 2140 GRAND AVE SUITE 215
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City | CHINO HILLS
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State | CA
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Zip | 91709-6800
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Country | US
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Telephone | 909-815-6054
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Fax | 909-613-1949
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Provider Business Mailing Address
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Address Line | 2140 GRAND AVE STE 215
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City | CHINO HILLS
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State | CA
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Zip | 91709-6804
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Country | US
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Telephone | 909-815-6054
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Fax | 909-613-1949
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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 | 47344
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License Number State | CA
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