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General NPI Number Information
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NPI Number | 1720733140
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Entity Type | Individual
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Provider Name | TRENISE RAHMAN
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Gender | Female
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Dates
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Enumeration Date | 02/14/2022
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Last Update Date | 02/08/2024
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Provider Practice Location Address
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Address Line | 727 PELOQUIN CT
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City | NEWMAN
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State | CA
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Zip | 95360-9565
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Country | US
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Telephone | 209-594-7072
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Fax |
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Provider Business Mailing Address
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Address Line | 21 N EL CIRCULO AVE
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City | PATTERSON
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State | CA
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Zip | 95363-2535
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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