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General NPI Number Information
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NPI Number | 1730972084
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Entity Type | Individual
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Provider Name | REBECCA BLYTHE CHITTENDEN RRA, RT(R)
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 6440 SOUTH ST
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City | LAKEWOOD
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State | CA
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Zip | 90713-1713
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Country | US
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Telephone | 562-627-0903
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Fax | 562-627-0923
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Provider Business Mailing Address
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Address Line | 1827 E 4TH ST APT 10
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City | LONG BEACH
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State | CA
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Zip | 90802-3810
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Country | US
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Telephone | 315-420-3443
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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 | 156F00000X
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Taxonomy Name | Technician/Technologist
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License Number | RHF115985
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License Number State | CA
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