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General NPI Number Information
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NPI Number | 1437766169
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Entity Type | Individual
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Provider Name | RACHEL DIANE DOUGHMAN MOT, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 09/27/2020
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Last Update Date | 11/03/2023
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Provider Practice Location Address
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Address Line | 350 CAPITOL HILL AVE
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City | RENO
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State | NV
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Zip | 89502-2923
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Country | US
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Telephone | 775-842-6201
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Fax |
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Provider Business Mailing Address
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Address Line | 3141 CENTENNIAL BLVD
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City | COLORADO SPRINGS
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State | CO
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Zip | 80907-4094
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Country | US
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Telephone | 719-227-4451
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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 | OT010495
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License Number State | OH
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