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General NPI Number Information
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NPI Number | 1871196071
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Entity Type | Individual
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Provider Name | STEVEN RABOIN LMFT
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Gender | Male
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Dates
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Enumeration Date | 11/19/2020
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Last Update Date | 11/19/2020
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Provider Practice Location Address
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Address Line | 55 HOPE ST
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City | PROVIDENCE
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State | RI
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Zip | 02906-2001
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Country | US
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Telephone | 401-331-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 1534 PHENIX AVE
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City | CRANSTON
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State | RI
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Zip | 02921-1348
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Country | US
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Telephone | 802-673-2128
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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 |
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License Number State |
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