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General NPI Number Information
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NPI Number | 1295403608
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Entity Type | Individual
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Provider Name | RACHAEL CAULEY LOUDENSLAGER LMSW
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Gender | Female
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Dates
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Enumeration Date | 08/31/2021
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Last Update Date | 08/31/2021
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Provider Practice Location Address
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Address Line | 3205 KIRBY WHITTEN RD STE 203D
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City | BARTLETT
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State | TN
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Zip | 38134-2853
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Country | US
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Telephone | 901-430-5009
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Fax | 901-284-0527
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Provider Business Mailing Address
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Address Line | 2653 SOUTHMOORE CV
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City | GERMANTOWN
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State | TN
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Zip | 38138-5927
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Country | US
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Telephone | 901-335-9059
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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 | LSW0000013049
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License Number State | TN
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