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NPI 1356257497

NPI 1356257497 : RACHEL BRYANT LCSW : WASILLA, AK

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General NPI Number Information
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    NPI Number           |    1356257497
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL BRYANT LCSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    08/19/2026
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    Last Update Date     |    08/19/2026
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Provider Practice Location Address
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    Address Line         |    351 W PARKS HWY 
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    City                 |    WASILLA
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    State                |    AK
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    Zip                  |    99654-6953
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    Country              |    US
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    Telephone            |    907-261-5572
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    351 W PARKS HWY 
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    City                 |    WASILLA
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    State                |    AK
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    Zip                  |    99654-6953
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    Country              |    US
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    Telephone            |    907-261-5572
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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       |    10146
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    License Number State |    TN
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Taxonomy #2
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    253914
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    License Number State |    AK
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