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General NPI Number Information
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NPI Number | 1154020550
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Entity Type | Individual
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Provider Name | RACHEL RAMONA-ANN MARSHALL LPC ASSOCIATE
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Gender | Female
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Dates
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Enumeration Date | 02/24/2023
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Last Update Date | 02/24/2023
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Provider Practice Location Address
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Address Line | 994 SUNMEADOW DR
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City | BEAUMONT
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State | TX
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Zip | 77706-3966
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Country | US
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Telephone | 832-280-7876
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7866
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City | BEAUMONT
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State | TX
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Zip | 77726-7866
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Country | US
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Telephone | 713-259-2156
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 86637
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License Number State | TX
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