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General NPI Number Information
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NPI Number | 1124986195
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Entity Type | Individual
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Provider Name | RAQUELLE POINDEXTER
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Gender | Female
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Dates
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Enumeration Date | 01/09/2026
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 806 MANHATTAN BEACH BLVD
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City | MANHATTAN BEACH
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State | CA
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Zip | 90266-4935
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Country | US
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Telephone | 562-270-5045
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E HILLCREST BLVD P.O. BOX 8112
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City | INGLEWOOD
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State | CA
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Zip | 90301
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Country | US
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Telephone | 562-270-5045
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 149752
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License Number State | CA
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