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General NPI Number Information
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NPI Number | 1609307461
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Entity Type | Organization
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Legal Business Name | PHILIP RAHM, PH.D LMFT MARRIAGE AND FAMILY THERAPY
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Dates
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Enumeration Date | 03/23/2017
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Last Update Date | 03/23/2017
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Provider Practice Location Address
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Address Line | 1225 CRANE ST SUITE 108
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City | MENLO PARK
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State | CA
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Zip | 94025-4257
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Country | US
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Telephone | 650-329-9660
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Fax | 650-329-1918
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Provider Business Mailing Address
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Address Line | 1225 CRANE ST 108
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City | MENLO PARK
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State | CA
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Zip | 94025-4257
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Country | US
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Telephone | 650-329-9660
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Fax | 650-329-1918
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Authorized Official
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Title or Position | OWNER
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Name | DR. PHILIP RAHM
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Credential | PH.D
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Telephone | 650-329-9660
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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 | MFC21773
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License Number State | CA
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