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General NPI Number Information
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NPI Number | 1538575014
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Entity Type | Individual
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Provider Name | RACHEL HARGROVE LMT
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Gender | Female
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Dates
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Enumeration Date | 07/07/2014
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Last Update Date | 09/05/2014
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Provider Practice Location Address
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Address Line | 2627 REDWING RD SUITE 350
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City | FORT COLLINS
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State | CO
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Zip | 80526-6321
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Country | US
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Telephone | 970-673-0892
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Fax |
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Provider Business Mailing Address
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Address Line | 710 CITY PARK AVE APT E523
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City | FORT COLLINS
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State | CO
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Zip | 80521-3463
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Country | US
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Telephone | 719-469-9568
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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 | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT.0012081
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License Number State | CO
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