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General NPI Number Information
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NPI Number | 1386471266
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Entity Type | Individual
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Provider Name | RACHEL D HARRIS LMFT
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Gender | Female
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Dates
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Enumeration Date | 09/16/2024
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Last Update Date | 09/16/2024
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Provider Practice Location Address
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Address Line | 730 E 38TH ST STE 101
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City | MINNEAPOLIS
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State | MN
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Zip | 55407-5218
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Country | US
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Telephone | 612-305-8510
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Fax |
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Provider Business Mailing Address
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Address Line | 47 12TH AVE NE
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City | SAINT CLOUD
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State | MN
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Zip | 56304-0914
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Country | US
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Telephone | 612-206-7725
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Fax | 612-206-7725
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 4552
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License Number State | MN
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