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General NPI Number Information
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NPI Number | 1275115594
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Entity Type | Individual
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Provider Name | RACHEL MARIE AMODIO
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Gender | Female
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Dates
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Enumeration Date | 04/26/2021
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2399 E WALTON BLVD
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City | AUBURN HILLS
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State | MI
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Zip | 48326-1955
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Country | US
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Telephone | 248-475-6300
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Fax |
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Provider Business Mailing Address
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Address Line | 20967 ONTAGA ST
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City | FARMINGTON HILLS
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State | MI
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Zip | 48336-6128
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Country | US
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Telephone | 734-756-1371
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | MI
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