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General NPI Number Information
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NPI Number | 1063910180
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Entity Type | Organization
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Legal Business Name | RICK JOSEPH SCARPELLO
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Dates
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Enumeration Date | 01/23/2018
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Last Update Date | 02/21/2019
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Provider Practice Location Address
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Address Line | 7250 REDWOOD BLVD
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City | NOVATO
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State | CA
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Zip | 94945-3268
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Country | US
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Telephone | 415-638-2660
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 27
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City | NOVATO
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State | CA
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Zip | 94948-0027
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Country | US
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Telephone | 415-623-4601
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. RICK JOSEPH SCARPELLO
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Credential | LMFT #111512
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Telephone | 415-623-4601
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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 | 88101
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License Number State | CA
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