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General NPI Number Information
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NPI Number | 1548057805
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Entity Type | Organization
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Legal Business Name | RACHAEL KAUFMAN, LCSW LLC
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Dates
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Enumeration Date | 04/21/2025
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Last Update Date | 04/21/2025
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Provider Practice Location Address
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Address Line | 8133 FOREST HILL AVE STE 301
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City | NORTH CHESTERFIELD
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State | VA
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Zip | 23235-3254
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Country | US
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Telephone | 908-752-3194
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 CLEARFIELD ST
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City | RICHMOND
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State | VA
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Zip | 23224-4645
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Country | US
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Telephone | 908-752-3194
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Fax |
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Authorized Official
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Title or Position | SOLE OWNER/MENTAL HEALTH THERAPIST
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Name | RACHAEL TILSON
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Credential |
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Telephone | 908-752-3194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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