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General NPI Number Information
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NPI Number | 1023823226
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Entity Type | Individual
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Provider Name | RACHEL LENNON OT
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Gender | Female
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Dates
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Enumeration Date | 02/12/2025
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Last Update Date | 02/12/2025
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Provider Practice Location Address
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Address Line | 10860 NEW ALLEGIANCE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80921-3794
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Country | US
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Telephone | 719-757-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 3755 CRANSWOOD WAY
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City | COLORADO SPRINGS
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State | CO
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Zip | 80918-6365
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Country | US
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Telephone | 919-428-4954
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT.0006943
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License Number State | CO
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