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General NPI Number Information
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NPI Number | 1063237915
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Entity Type | Individual
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Provider Name | RACHEL WHITE LMT
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Gender | Female
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Dates
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Enumeration Date | 11/16/2024
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Last Update Date | 11/16/2024
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Provider Practice Location Address
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Address Line | 6502 E CARONDELET DR
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City | TUCSON
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State | AZ
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Zip | 85710-2117
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Country | US
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Telephone | 520-505-1990
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Fax |
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Provider Business Mailing Address
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Address Line | 7426 S VIA BOMBACHAS
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City | TUCSON
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State | AZ
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Zip | 85756-0117
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Country | US
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Telephone | 928-514-1233
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-24489
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License Number State | AZ
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