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General NPI Number Information
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NPI Number | 1205590767
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Entity Type | Individual
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Provider Name | RAVEN NALIKA ROSE LMFT
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Gender | Female
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Dates
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Enumeration Date | 10/29/2021
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Last Update Date | 09/26/2024
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Provider Practice Location Address
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Address Line | 3200 E GUASTI RD
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City | ONTARIO
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State | CA
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Zip | 91761-8660
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Country | US
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Telephone | 909-295-5805
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Fax |
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Provider Business Mailing Address
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Address Line | 773 CENTER BLVD UNIT 581
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City | FAIRFAX
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State | CA
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Zip | 94978-5710
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Country | US
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Telephone |
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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 | 126047
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License Number State | CA
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