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General NPI Number Information
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NPI Number | 1376051029
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Entity Type | Organization
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Legal Business Name | RHOKA LLC
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Dates
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Enumeration Date | 01/16/2018
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Last Update Date | 02/22/2020
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Provider Practice Location Address
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Address Line | 3600 LIME ST STE 216-103
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City | RIVERSIDE
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State | CA
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Zip | 92501-2971
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Country | US
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Telephone | 877-712-5220
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Fax | 844-300-5483
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Provider Business Mailing Address
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Address Line | 1968 S COAST HWY # 803
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City | LAGUNA BEACH
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State | CA
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Zip | 92651-3681
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Country | US
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Telephone | 210-390-6929
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Fax | 844-300-5483
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Authorized Official
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Title or Position | LICENSED CLINICAL CHR COUNSELOR
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Name | RHODEL CHRISTINE KABAH
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Credential | M.A., LCCC
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Telephone | 210-390-6929
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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