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General NPI Number Information
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NPI Number | 1376994061
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Entity Type | Organization
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Legal Business Name | RACHEL GLASER LCSW, PLLC
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Dates
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Enumeration Date | 06/24/2016
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Last Update Date | 09/19/2016
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Provider Practice Location Address
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Address Line | 1619 W 6TH ST
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City | AUSTIN
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State | TX
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Zip | 78703-5059
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Country | US
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Telephone | 504-228-3168
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Fax |
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Provider Business Mailing Address
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Address Line | 1619 W 6TH ST
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City | AUSTIN
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State | TX
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Zip | 78703-5059
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | RACHEL GLASER
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Credential | LCSW
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Telephone | 504-228-3168
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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 | 53056
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License Number State | TX
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