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General NPI Number Information
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NPI Number | 1396246245
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Entity Type | Individual
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Provider Name | RACHEL ANNE MCBRADY PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 02/26/2018
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Last Update Date | 10/18/2019
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Provider Practice Location Address
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Address Line | 182 NORTH STREET
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City | AUBURN
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State | NY
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Zip | 13021
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Country | US
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Telephone | 315-515-5132
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Fax | 765-450-6664
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Provider Business Mailing Address
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Address Line | 182 NORTH STREET
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City | AUBURN
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State | NY
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Zip | 13021
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Country | US
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Telephone | 315-515-5132
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Fax | 765-450-6664
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 5501017874
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05012951A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 044369
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License Number State | NY
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