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General NPI Number Information
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NPI Number | 1770899759
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Entity Type | Individual
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Provider Name | ROCHELLE RAINEY
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Gender | Female
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Dates
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Enumeration Date | 08/27/2010
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Last Update Date | 10/17/2022
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Provider Practice Location Address
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Address Line | 2275 ARLINGTON DR
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City | SAN LEANDRO
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State | CA
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Zip | 94578-1132
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Country | US
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Telephone | 510-317-1444
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Fax |
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Provider Business Mailing Address
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Address Line | 8287 SUMMER FALLS CIR
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City | SACRAMENTO
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State | CA
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Zip | 95828-6926
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Country | US
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Telephone | 510-459-9350
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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 | 71303
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License Number State | CA
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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 | 92281
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License Number State | CA
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