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General NPI Number Information
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NPI Number | 1528718038
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Entity Type | Individual
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Provider Name | RACHEL MARIE WILLIAMS
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Gender | Female
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Dates
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Enumeration Date | 03/27/2022
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 3247 S MARYLAND PKWY
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City | LAS VEGAS
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State | NV
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Zip | 89109-2412
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Country | US
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Telephone | 702-776-3500
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Fax |
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Provider Business Mailing Address
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Address Line | 9012 IRON HITCH AVE
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City | LAS VEGAS
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State | NV
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Zip | 89143-4438
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Country | US
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Telephone |
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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 | 106S00000X
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Taxonomy Name | Behavior Technician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 163WP0808X
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Taxonomy Name | Psychiatric/Mental Health Registered Nurse
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License Number | 822615
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License Number State | NV
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