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General NPI Number Information
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NPI Number | 1871392878
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Entity Type | Individual
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Provider Name | MISA C RASMUSSEN
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Gender | Female
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Dates
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Enumeration Date | 03/11/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 29911 NIGUEL RD UNIT 7003
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City | LAGUNA NIGUEL
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State | CA
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Zip | 92607-2441
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Country | US
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Telephone | 877-412-8031
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Fax |
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Provider Business Mailing Address
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Address Line | 11120 E OCEAN AIR DR STE B-10127
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City | SAN DIEGO
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State | CA
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Zip | 92130-4683
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Country | US
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Telephone | 619-354-0518
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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 | 18870
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 155503
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License Number State | CA
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