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General NPI Number Information
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NPI Number | 1255981783
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Entity Type | Individual
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Provider Name | RACHAEL HARRIS NAGESH MSW, LCSW
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Gender | Female
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Dates
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Enumeration Date | 09/17/2019
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Last Update Date | 08/18/2022
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Provider Practice Location Address
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Address Line | 6330 QUADRANGLE DR
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City | CHAPEL HILL
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State | NC
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Zip | 27517-8279
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Country | US
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Telephone | 737-988-8849
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Fax |
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Provider Business Mailing Address
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Address Line | 2628 LEX LN
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City | NEW HILL
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State | NC
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Zip | 27562-9326
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Country | US
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Telephone | 919-656-8170
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C013108
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License Number State | NC
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