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General NPI Number Information
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NPI Number | 1508902214
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Entity Type | Individual
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Provider Name | RENEE JOANN SANGUINETTI MA LMFT
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Gender | Female
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Dates
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Enumeration Date | 01/29/2007
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Last Update Date | 10/23/2023
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Provider Practice Location Address
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Address Line | 2311 FALCON DR
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City | WEST LINN
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State | OR
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Zip | 97068-4189
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Country | US
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Telephone | 408-375-9027
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Fax |
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Provider Business Mailing Address
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Address Line | 3 MONROE PKWY STE P
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City | LAKE OSWEGO
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State | OR
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Zip | 97035-8899
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Country | US
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Telephone | 696-232-3725
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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 | 43643 LMFT
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | T2316
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License Number State | OR
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