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General NPI Number Information
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NPI Number | 1447262761
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Entity Type | Individual
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Provider Name | RACHEL MINTON LOUT LPC
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Gender | Female
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 01/02/2009
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Provider Practice Location Address
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Address Line | 4632 NE STALLINGS DR STE 300
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City | NACOGDOCHES
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State | TX
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Zip | 75965-1608
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Country | US
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Telephone | 936-558-6250
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Fax | 936-558-6251
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Provider Business Mailing Address
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Address Line | 310 CR 1291
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City | NACOGDOCHES
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State | TX
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Zip | 75965
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Country | US
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Telephone | 936-554-8007
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Fax | 936-598-6618
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 18997
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License Number State | TX
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