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General NPI Number Information
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NPI Number | 1578963427
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Entity Type | Individual
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Provider Name | REBECCA MARIE TRENT M.S., LMFT
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Gender | Female
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 9481 DAVID SMITH LN SUITE 125
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City | OOLTEWAH
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State | TN
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Zip | 37363-7293
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Country | US
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Telephone | 615-456-3339
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Fax |
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Provider Business Mailing Address
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Address Line | 5725 SARAH DR
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City | OOLTEWAH
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State | TN
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Zip | 37363-6465
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Country | US
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Telephone | 615-456-3339
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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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