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General NPI Number Information
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NPI Number | 1598653255
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Entity Type | Organization
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Legal Business Name | RACHEL DAGGETT FAMILY THERAPY, A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 324 AVENIDA DE LA ESTRELLA STE B
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-3987
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Country | US
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Telephone | 310-697-6728
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Fax |
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Provider Business Mailing Address
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Address Line | 732 VIA OTONO
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City | SAN CLEMENTE
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State | CA
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Zip | 92672-6011
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Country | US
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Telephone | 310-697-6728
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RACHEL DAGGETT
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Credential | LMFT
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Telephone | 310-697-6728
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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