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General NPI Number Information
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NPI Number | 1235483918
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Entity Type | Individual
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Provider Name | RACHEL ELIZABETH CONTRERAS M.A. MFT
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Gender | Female
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Dates
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Enumeration Date | 11/02/2012
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Last Update Date | 11/13/2016
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Provider Practice Location Address
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Address Line | 3671 BUSINESS DR STE 110
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City | SACRAMENTO
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State | CA
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Zip | 95820-2165
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Country | US
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Telephone | 916-734-8396
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Fax | 916-734-8396
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Provider Business Mailing Address
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Address Line | 3671 BUSINESS DR STE 110
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City | SACRAMENTO
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State | CA
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Zip | 95820-2165
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Country | US
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Telephone | 916-734-8396
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Fax | 916-734-8396
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 0-12-5192
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | IMF96261
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License Number State | CA
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