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General NPI Number Information
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NPI Number | 1609522879
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Entity Type | Individual
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Provider Name | RACHEL PEARL LMFT
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Gender | Female
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Dates
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Enumeration Date | 02/26/2022
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Last Update Date | 02/26/2022
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Provider Practice Location Address
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Address Line | 650 S CLOVERDALE AVE APT 4
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City | LOS ANGELES
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State | CA
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Zip | 90036-4118
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Country | US
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Telephone | 213-400-0416
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Fax |
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Provider Business Mailing Address
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Address Line | 3371 GLENDALE BLVD # 187
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City | LOS ANGELES
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State | CA
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Zip | 90039-1846
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Country | US
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Telephone | 323-505-2154
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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 | 95021
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License Number State | CA
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