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General NPI Number Information
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NPI Number | 1245093319
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Entity Type | Organization
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Legal Business Name | MARIKO C RAJAMAND PLLC
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Dates
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Enumeration Date | 02/01/2024
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Last Update Date | 02/01/2024
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Provider Practice Location Address
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Address Line | 5448 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511-2620
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Country | US
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Telephone | 775-993-9292
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Fax | 775-993-9293
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Provider Business Mailing Address
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Address Line | 5448 RENO CORPORATE DR
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City | RENO
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State | NV
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Zip | 89511-2620
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Country | US
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Telephone | 775-993-9292
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Fax | 775-993-9293
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Authorized Official
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Title or Position | OWNER
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Name | MARIKO CRUM RAJAMAND
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Credential | DO
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Telephone | 775-993-9292
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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