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General NPI Number Information
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NPI Number | 1104178185
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Entity Type | Individual
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Provider Name | RACHEL L LATHAM LPC, LAC
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Gender | Female
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Dates
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Enumeration Date | 10/15/2012
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Last Update Date | 08/01/2019
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Provider Practice Location Address
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Address Line | 2368 FLAT ROCK RD
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City | ABBEVILLE
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State | SC
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Zip | 29620-3424
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Country | US
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Telephone | 864-933-7224
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Fax |
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Provider Business Mailing Address
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Address Line | 2368 FLAT ROCK RD
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City | ABBEVILLE
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State | SC
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Zip | 29620-3424
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Country | US
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Telephone | 706-255-7054
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 1107276
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 5151
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License Number State | SC
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