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General NPI Number Information
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NPI Number | 1528293198
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Entity Type | Individual
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Provider Name | MISS CHRISTINA M. RAKOW
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Gender | Female
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Dates
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Enumeration Date | 05/26/2009
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Last Update Date | 01/25/2022
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Provider Practice Location Address
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Address Line | 1050 WILLIAMS ST
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City | ROCKWALL
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State | TX
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Zip | 75087-2600
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Country | US
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Telephone | 972-772-1175
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Fax |
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Provider Business Mailing Address
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Address Line | 2131 GARRISON DR
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City | ROCKWALL
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State | TX
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Zip | 75032-7281
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Country | US
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Telephone | 214-886-7155
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 18777
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License Number State | TX
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