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General NPI Number Information
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NPI Number | 1598385577
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Entity Type | Organization
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Legal Business Name | RISE LIFE SOLUTIONS LLC
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Dates
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Enumeration Date | 04/20/2020
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Last Update Date | 11/07/2025
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Provider Practice Location Address
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Address Line | 707 CONSERVATION LN STE 300
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City | GAITHERSBURG
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State | MD
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Zip | 20878-2983
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Country | US
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Telephone | 301-913-4400
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Fax |
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Provider Business Mailing Address
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Address Line | 14552 GARDEN RD
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City | POWAY
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State | CA
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Zip | 92064-5126
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Country | US
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Telephone | 301-913-4400
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. ROSLYN SANCHEZ
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Credential | PH.D.
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Telephone | 301-913-4400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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