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General NPI Number Information
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NPI Number | 1538727763
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Entity Type | Individual
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Provider Name | SLOANE REBECCA MCBRIDE RICKMAN
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Gender | Female
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Dates
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Enumeration Date | 06/03/2019
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Last Update Date | 05/20/2025
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Provider Practice Location Address
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Address Line | 2 CIRCLE HILL CT
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92677-5902
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Country | US
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Telephone | 949-228-5681
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Fax |
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Provider Business Mailing Address
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Address Line | 880 RILEY AVE
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City | REDWOOD CITY
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State | CA
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Zip | 94061-3727
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Country | US
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Telephone | 949-378-5701
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 35224
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License Number State | CA
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