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General NPI Number Information
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NPI Number | 1194423533
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Entity Type | Individual
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Provider Name | RACHEL SHOEMAKER LPC-A
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Gender | Female
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Dates
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Enumeration Date | 02/15/2023
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Last Update Date | 02/15/2023
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Provider Practice Location Address
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Address Line | 309 E 125TH CT S
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City | JENKS
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State | OK
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Zip | 74037-1076
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Country | US
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Telephone | 214-608-4984
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Fax |
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Provider Business Mailing Address
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Address Line | 309 E 125TH CT S
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City | JENKS
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State | OK
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Zip | 74037
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Country | US
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Telephone |
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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 | 86136
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License Number State | TX
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