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General NPI Number Information
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NPI Number | 1407284359
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Entity Type | Individual
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Provider Name | MICHELLE RABIN LCSW
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Gender | Female
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Dates
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Enumeration Date | 10/30/2013
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Last Update Date | 11/16/2016
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Provider Practice Location Address
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Address Line | 2501 W SHAW AVE SUITE 113
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City | FRESNO
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State | CA
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Zip | 93711-3307
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Country | US
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Telephone | 559-313-2075
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Fax | 559-228-8329
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Provider Business Mailing Address
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Address Line | PO BOX 26422
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City | FRESNO
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State | CA
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Zip | 93729-6422
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Country | US
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Telephone | 559-313-2075
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Fax | 559-228-8329
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCS21295
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License Number State | CA
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