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General NPI Number Information
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NPI Number | 1508231713
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Entity Type | Organization
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Legal Business Name | RACHEL HUMMEL-SASS, PSY.D., LLC
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Dates
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Enumeration Date | 12/14/2015
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Last Update Date | 12/14/2015
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Provider Practice Location Address
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Address Line | 200 SAINT FRANCIS AVE
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City | TIFFIN
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State | OH
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Zip | 44883-3458
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Country | US
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Telephone | 419-455-6891
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 954
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City | TIFFIN
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State | OH
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Zip | 44883-0954
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Country | US
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Telephone | 419-455-6891
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL HUMMEL-SASS
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Credential | PSY.D.
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Telephone | 419-455-6891
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 7295
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License Number State | OH
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