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General NPI Number Information
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NPI Number | 1710804364
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Entity Type | Organization
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Legal Business Name | R & R FAMILY THERAPY PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 07/03/2026
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Last Update Date | 07/03/2026
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Provider Practice Location Address
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Address Line | 10717 SAINT JAMES AVE
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City | SOUTH GATE
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State | CA
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Zip | 90280-7109
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Country | US
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Telephone | 323-696-1889
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 829
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City | SOUTH GATE
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State | CA
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Zip | 90280-8829
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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 | OWNER
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Name | ROSARIO TABARES
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Credential | LMFT
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Telephone | 310-945-7086
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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