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NPI 1245806108

NPI 1245806108 : RACHEL LYNN PHILLIPS : PITTSBURGH, PA

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General NPI Number Information
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    NPI Number           |    1245806108
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL LYNN PHILLIPS
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    06/01/2021
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    Last Update Date     |    06/01/2021
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Provider Practice Location Address
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    Address Line         |    700 BOWER HILL RD 
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    City                 |    PITTSBURGH
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    State                |    PA
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    Zip                  |    15243-2040
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    Country              |    US
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    Telephone            |    412-341-1030
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    591 ELMWOOD AVE 
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    City                 |    WASHINGTON
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    State                |    PA
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    Zip                  |    15301-2848
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    Country              |    US
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    Telephone            |    724-914-9389
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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        |    224ZE0001X
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    Taxonomy Name        |    Environmental Modification Occupational Therapy Assistant
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    License Number       |    
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    License Number State |    PA
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