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NPI 1205504396

NPI 1205504396 : RACHEL MCDANIEL OTD, OTR/L : CHARLOTTESVILLE, VA

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General NPI Number Information
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    NPI Number           |    1205504396
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL MCDANIEL OTD, OTR/L
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    09/02/2021
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    Last Update Date     |    09/02/2021
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Provider Practice Location Address
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    Address Line         |    1622 TIMBERWOOD BLVD STE AND211 
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    City                 |    CHARLOTTESVILLE
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    State                |    VA
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    Zip                  |    22911-7573
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    Country              |    US
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    Telephone            |    434-202-2830
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    Fax                  |    434-529-8457
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Provider Business Mailing Address
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    Address Line         |    PO BOX 412307 
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02241-2307
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    Country              |    US
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    Telephone            |    914-294-4050
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    Fax                  |    631-760-8306
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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        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    0119009131
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    License Number State |    VA
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