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General NPI Number Information
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NPI Number | 1609283308
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Entity Type | Individual
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Provider Name | DEMI RHINE PSY. D.
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Gender | Female
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Dates
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Enumeration Date | 07/15/2014
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Last Update Date | 07/15/2014
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Provider Practice Location Address
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Address Line | 345 38TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-2703
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Country | US
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Telephone | 510-596-8137
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Fax | 510-596-8955
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Provider Business Mailing Address
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Address Line | 345 38TH ST
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City | OAKLAND
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State | CA
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Zip | 94609-2703
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Country | US
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Telephone | 510-596-8137
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Fax | 510-596-8955
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSY 22118
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License Number State | CO
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