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General NPI Number Information
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NPI Number | 1376037929
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Entity Type | Individual
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Provider Name | CHRISTINA RAFFERTY SCIAMMAS
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Gender | Female
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Dates
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Enumeration Date | 06/18/2018
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Last Update Date | 06/18/2018
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Provider Practice Location Address
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Address Line | 315 LOS GATOS SARATOGA RD
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City | LOS GATOS
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State | CA
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Zip | 95030-5310
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Country | US
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Telephone | 408-460-5204
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Fax | 408-356-2524
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Provider Business Mailing Address
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Address Line | 15466 LOS GATOS BLVD # 109-125
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City | LOS GATOS
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State | CA
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Zip | 95032-2542
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Country | US
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Telephone | 408-460-5204
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Fax | 408-356-2524
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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 | 106481
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License Number State | CA
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