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General NPI Number Information
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NPI Number | 1518320209
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Entity Type | Individual
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Provider Name | RACHEL KOONSE
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Gender | Female
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Dates
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Enumeration Date | 03/31/2016
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Last Update Date | 03/31/2016
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Provider Practice Location Address
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Address Line | 29300 THE OLD RD BLDG C
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City | CASTAIC
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State | CA
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Zip | 91384-2905
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Country | US
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Telephone | 323-490-0764
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Fax |
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Provider Business Mailing Address
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Address Line | 5021 BRIGGS AVE
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City | LA CRESCENTA
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State | CA
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Zip | 91214-3058
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Country | US
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Telephone | 818-804-1130
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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 |
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License Number State |
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