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General NPI Number Information
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NPI Number | 1063988848
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Entity Type | Individual
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Provider Name | RACHAEL A KRISHER LSW
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Gender | Female
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Dates
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Enumeration Date | 10/18/2018
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Last Update Date | 10/18/2018
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Provider Practice Location Address
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Address Line | 5800 MONROE ST STE 1
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City | SYLVANIA
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State | OH
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Zip | 43560-2263
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Country | US
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Telephone | 419-276-3556
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Fax |
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Provider Business Mailing Address
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Address Line | 15625 COUNTY ROAD K
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City | WAUSEON
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State | OH
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Zip | 43567-9137
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Country | US
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Telephone | 937-441-4002
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 1600720
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License Number State | OH
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