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General NPI Number Information
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NPI Number | 1013678457
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Entity Type | Individual
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Provider Name | RACHEL JANEEN HELDT SLP/CCC
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Gender | Female
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Dates
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Enumeration Date | 01/07/2022
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 106 W MAIN ST
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City | ATLANTA
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State | TX
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Zip | 75551-2519
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Country | US
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Telephone | 903-796-4194
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Fax |
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Provider Business Mailing Address
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Address Line | 941 COUNTY ROAD 4346
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City | BIVINS
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State | TX
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Zip | 75555-4059
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Country | US
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Telephone | 903-799-8309
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 19252
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License Number State | TX
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