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General NPI Number Information
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NPI Number | 1952551434
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Entity Type | Individual
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Provider Name | MARGARET ELLEN RAINTREE L.C.S.W.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2008
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 21152 CALISTOGA RE #203
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City | MIDDLETOWN
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State | CA
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Zip | 95461
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Country | US
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Telephone | 707-494-1239
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Fax | 707-968-6125
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Provider Business Mailing Address
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Address Line | 1335 MAIN ST STE 105
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City | SAINT HELENA
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State | CA
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Zip | 94574-1940
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Country | US
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Telephone | 707-494-1239
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Fax | 707-968-6125
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 27018
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License Number State | CA
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