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General NPI Number Information
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NPI Number | 1164252458
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Entity Type | Individual
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Provider Name | LINDA ABIGAIL RANKIN AMFT #148140
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Gender | Female
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Dates
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Enumeration Date | 08/02/2024
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Last Update Date | 08/02/2024
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Provider Practice Location Address
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Address Line | 3103 FALCON ST
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City | SAN DIEGO
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State | CA
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Zip | 92103-5472
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Country | US
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Telephone | 619-320-5407
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Fax |
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Provider Business Mailing Address
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Address Line | 2220 OTAY LAKES RD STE 502-250
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City | CHULA VISTA
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State | CA
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Zip | 91915-1004
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Country | US
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Telephone | 619-213-3610
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 94578
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License Number State | CA
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