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General NPI Number Information
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NPI Number | 1437648094
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Entity Type | Individual
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Provider Name | RACHAEL NEVADA YOUNG OT
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Gender | Female
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Dates
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Enumeration Date | 05/08/2018
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Last Update Date | 11/10/2024
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Provider Practice Location Address
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Address Line | 2600 ALEXANDRIA PIKE
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-1590
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Country | US
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Telephone | 859-572-0710
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Fax |
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Provider Business Mailing Address
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Address Line | 2600 ALEXANDRIA PIKE
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City | HIGHLAND HEIGHTS
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State | KY
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Zip | 41076-1590
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Country | US
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Telephone | 859-285-0915
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | OT013026
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 294693
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License Number State | KY
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