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General NPI Number Information
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NPI Number | 1093389447
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Entity Type | Individual
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Provider Name | RACHEL ALEXANDRA HELLER
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Gender | Female
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Dates
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Enumeration Date | 05/19/2021
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Last Update Date | 05/19/2021
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Provider Practice Location Address
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Address Line | 2760 TRICOM ST
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City | NORTH CHARLESTON
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State | SC
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Zip | 29406-9169
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Country | US
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Telephone | 215-290-8072
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Fax |
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Provider Business Mailing Address
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Address Line | 20 ROMNEY ST APT 1214
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City | CHARLESTON
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State | SC
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Zip | 29403-3919
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Country | US
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Telephone | 215-290-8072
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10668
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License Number State | SC
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