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General NPI Number Information
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NPI Number | 1316628878
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Entity Type | Individual
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Provider Name | RACHEL TREADAWAY
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Gender | Female
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Dates
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Enumeration Date | 07/27/2023
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Last Update Date | 07/27/2023
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Provider Practice Location Address
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Address Line | 6750 HILLCREST PLAZA DR
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City | DALLAS
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State | TX
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Zip | 75230-1400
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Country | US
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Telephone | 214-945-0716
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Fax |
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Provider Business Mailing Address
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Address Line | 15750 DALEPORT CIR
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City | DALLAS
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State | TX
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Zip | 75248-4217
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Country | US
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Telephone | 940-594-7866
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 72636
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License Number State | TX
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