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General NPI Number Information
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NPI Number | 1467648493
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Entity Type | Individual
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Provider Name | RACHEL J. HORODEZKY PSY.D
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Gender | Female
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 06/13/2014
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Provider Practice Location Address
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Address Line | 6233 SOQUEL DR.
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City | APTOS
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State | CA
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Zip | 95060
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Country | US
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Telephone | 831-331-9202
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Fax |
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Provider Business Mailing Address
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Address Line | 6233 SOQUEL DR
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City | APTOS
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State | CA
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Zip | 95003
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Country | US
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Telephone | 831-331-9202
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 25159PSY.D
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License Number State | CA
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