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General NPI Number Information
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NPI Number | 1205315140
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Entity Type | Individual
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Provider Name | RACHEL ELIZABETH HOLIK PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 08/10/2018
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Last Update Date | 03/05/2019
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Provider Practice Location Address
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Address Line | 1589 WINGFIELD DR
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City | HAMPTON
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State | VA
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Zip | 23666-4822
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Country | US
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Telephone | 757-850-7217
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Fax |
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Provider Business Mailing Address
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Address Line | 14701 ROBERTS RD
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City | WALL
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State | TX
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Zip | 76957-9721
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Country | US
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Telephone | 325-763-9990
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | P18032
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 1304919
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 9163
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License Number State | SC
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Taxonomy #4
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Taxonomy Code | 2251P0200X
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Taxonomy Name | Pediatric Physical Therapist
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License Number | 2305212301
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License Number State | VA
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