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NPI 1265879225

NPI 1265879225 : RACHEL TALBOT MD : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1265879225
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL TALBOT MD
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/31/2013
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    Last Update Date     |    06/11/2025
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Provider Practice Location Address
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    Address Line         |    1500 COOPER ST 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76104-2710
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    Country              |    US
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    Telephone            |    682-885-1050
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    Fax                  |    682-885-7572
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Provider Business Mailing Address
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    Address Line         |    PO BOX 733784 
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    City                 |    DALLAS
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    State                |    TX
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    Zip                  |    75373-3784
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    Country              |    US
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    Telephone            |    682-885-6483
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    Fax                  |    682-885-3113
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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        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    C1-0026812
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    License Number State |    DE
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Taxonomy #2
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    Taxonomy Code        |    2084P0804X
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    Taxonomy Name        |    Child & Adolescent Psychiatry Physician
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    License Number       |    R6116
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    License Number State |    TX
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