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General NPI Number Information
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NPI Number | 1518332717
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Entity Type | Organization
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Legal Business Name | RACHAEL NEWMAN MFT
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 47 6TH ST STE 200
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City | PETALUMA
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State | CA
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Zip | 94952-3092
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Country | US
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Telephone | 415-515-4754
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Fax |
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Provider Business Mailing Address
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Address Line | 47 6TH ST STE 200
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City | PETALUMA
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State | CA
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Zip | 94952-3092
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Country | US
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Telephone | 415-515-4754
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Fax |
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Authorized Official
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Title or Position | PSYCHOTHERAPIST
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Name | RACHAEL NEWMAN
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Credential | MFT
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Telephone | 415-515-4754
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 47752
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License Number State | CA
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