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General NPI Number Information
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NPI Number | 1528644796
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Entity Type | Individual
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Provider Name | RACHEL FOOTE LAC
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Gender | Female
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Dates
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Enumeration Date | 03/19/2021
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Last Update Date | 09/11/2023
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Provider Practice Location Address
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Address Line | 120 MEGHAN LN
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City | JUDSONIA
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State | AR
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Zip | 72081-9302
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Country | US
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Telephone | 866-729-4479
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Fax | 501-729-3537
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Provider Business Mailing Address
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Address Line | 120 MEGHAN LN
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City | JUDSONIA
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State | AR
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Zip | 72081-9302
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Country | US
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Telephone | 870-270-2086
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | A2209002
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License Number State | AR
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