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General NPI Number Information
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NPI Number | 1659494839
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Entity Type | Individual
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Provider Name | DIONE TEVES RABAGO LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/10/2007
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Last Update Date | 08/18/2025
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Provider Practice Location Address
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Address Line | PO BOX 823405
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City | VANCOUVER
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State | WA
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Zip | 98682-0070
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Country | US
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Telephone | 408-834-9246
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 823405
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City | VANCOUVER
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State | WA
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Zip | 98682-0070
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Country | US
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Telephone |
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 074729-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61592348
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License Number State | WA
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 72046
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License Number State | CA
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