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General NPI Number Information
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NPI Number | 1164888137
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Entity Type | Individual
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Provider Name | RACHEAL STUTH REICHEL
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Gender | Female
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Dates
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Enumeration Date | 01/06/2016
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Last Update Date | 09/17/2016
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Provider Practice Location Address
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Address Line | 1725 HEMLOCK DR SE
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City | AUBURN
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State | WA
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Zip | 98092-6414
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Country | US
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Telephone | 253-569-7459
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Fax |
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Provider Business Mailing Address
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Address Line | 903 E MAIN ST STE 212213
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City | AUBURN
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State | WA
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Zip | 98002-5600
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Country | US
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Telephone | 253-569-7459
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Fax | 253-244-9832
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW60473348
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License Number State | WA
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