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NPI 1770962219

NPI 1770962219 : RICHARD ANTHONY ROBBINS VILLARREAL LMFT : TEMECULA, CA

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General NPI Number Information
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    NPI Number           |    1770962219
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    Entity Type          |    Individual 
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    Provider Name        |    RICHARD ANTHONY ROBBINS VILLARREAL LMFT
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    05/28/2015
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    Last Update Date     |    03/17/2018
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Provider Practice Location Address
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    Address Line         |    41690 ENTERPRISE CIR N STE 204 
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    City                 |    TEMECULA
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    State                |    CA
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    Zip                  |    92590-5627
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    Country              |    US
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    Telephone            |    951-254-3134
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    Fax                  |    951-595-4873
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Provider Business Mailing Address
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    Address Line         |    41690 ENTERPRISE CIR N STE 204 
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    City                 |    TEMECULA
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    State                |    CA
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    Zip                  |    92590-5627
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    Country              |    US
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    Telephone            |    951-254-3134
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    Fax                  |    951-595-4873
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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        |    106H00000X
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    Taxonomy Name        |    Marriage & Family Therapist
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    License Number       |    98846
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    License Number State |    CA
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