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General NPI Number Information
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NPI Number | 1821363664
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Entity Type | Individual
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Provider Name | RACHELLE EILEEN ROBERTS LMFT
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Gender | Female
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Dates
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Enumeration Date | 03/13/2012
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 44175 WASHINGTON ST
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City | INDIAN WELLS
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State | CA
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Zip | 92210-6801
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Country | US
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Telephone | 760-200-2024
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Fax |
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Provider Business Mailing Address
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Address Line | 50660 EISENHOWER DR APT 622
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City | LA QUINTA
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State | CA
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Zip | 92253-2332
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Country | US
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Telephone | 760-601-5260
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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 | 79989
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License Number State | CA
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