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General NPI Number Information
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NPI Number | 1295496644
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Entity Type | Individual
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Provider Name | GIANINA CASARENO REIBLING LMFT, RDH
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 2631 QUAIL DR
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City | UNION CITY
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State | CA
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Zip | 94587-3179
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Country | US
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Telephone | 323-513-8923
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Fax |
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Provider Business Mailing Address
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Address Line | 1615 MOUNT LARSON RD
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City | AUSTIN
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State | TX
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Zip | 78746-2957
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Country | US
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Telephone | 323-513-8923
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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 | 128832
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License Number State | CA
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