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General NPI Number Information
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NPI Number | 1205316247
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Entity Type | Individual
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Provider Name | RACHEL W. RICHARDS PT
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Gender | Female
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Dates
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Enumeration Date | 08/20/2018
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Last Update Date | 03/01/2024
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Provider Practice Location Address
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Address Line | 9333 PARK WEST BLVD STE 102
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City | KNOXVILLE
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State | TN
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Zip | 37923-4305
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Country | US
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Telephone | 865-470-2696
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Fax |
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Provider Business Mailing Address
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Address Line | 13937 S SPRAGUE LN STE 100
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City | DRAPER
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State | UT
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Zip | 84020-7864
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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 | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | 7871
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License Number State | TN
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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 | 7871
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License Number State | TN
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