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General NPI Number Information
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NPI Number | 1164931887
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Entity Type | Individual
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Provider Name | RACHEL LEAH MEREDITH MSED
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Gender | Female
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Dates
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Enumeration Date | 09/26/2017
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Last Update Date | 03/20/2022
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Provider Practice Location Address
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Address Line | 9240 GROSS POINT RD APT 406
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City | SKOKIE
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State | IL
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Zip | 60077-1370
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Country | US
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Telephone | 574-229-4056
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Fax |
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Provider Business Mailing Address
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Address Line | 9240 GROSS POINT RD APT 406
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City | SKOKIE
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State | IL
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Zip | 60077-1370
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Country | US
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Telephone | 574-229-4056
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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 | 103TS0200X
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Taxonomy Name | School Psychologist
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License Number |
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 12153993
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License Number State | NY
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