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General NPI Number Information
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NPI Number | 1912597097
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Entity Type | Individual
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Provider Name | RACHEL MARIE CORWIN PSYD
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Gender | Female
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Dates
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Enumeration Date | 01/21/2021
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Last Update Date | 01/21/2021
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Provider Practice Location Address
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Address Line | 327 COLLEGE ST STE 206
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City | WOODLAND
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State | CA
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Zip | 95695-3484
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Country | US
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Telephone | 916-288-7484
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Fax |
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Provider Business Mailing Address
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Address Line | 607 BEELARD DR
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City | VACAVILLE
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State | CA
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Zip | 95687-5853
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Country | US
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Telephone | 708-420-0943
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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 | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | PSB94025529
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License Number State | CA
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