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General NPI Number Information
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NPI Number | 1811757701
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Entity Type | Individual
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Provider Name | RIANNA CHARLENE TRAVAGLINI LAMFT
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Gender | Female
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Dates
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Enumeration Date | 03/19/2024
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Last Update Date | 03/19/2024
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Provider Practice Location Address
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Address Line | 3920 S RURAL RD STE 112
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City | TEMPE
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State | AZ
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Zip | 85282-5500
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Country | US
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Telephone | 480-428-2944
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Fax |
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Provider Business Mailing Address
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Address Line | 901 E VAN BUREN ST APT 1007
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City | PHOENIX
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State | AZ
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Zip | 85006-4008
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Country | US
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Telephone | 860-508-3747
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | LAMFT-1091
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License Number State | AZ
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