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General NPI Number Information
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NPI Number | 1427172469
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Entity Type | Individual
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Provider Name | REBECCA NICOLE RICCI MFT
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 06/22/2011
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Provider Practice Location Address
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Address Line | 15339 SATICOY ST
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City | VAN NUYS
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State | CA
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Zip | 91406-3345
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Country | US
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Telephone | 818-535-9895
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Fax |
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Provider Business Mailing Address
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Address Line | 536 N ORANGE DR
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City | LOS ANGELES
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State | CA
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Zip | 90036-2071
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Country | US
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Telephone | 818-335-9895
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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 | 49620
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License Number State | CA
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