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General NPI Number Information
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NPI Number | 1548080633
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Entity Type | Individual
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Provider Name | RACHEL DEWEESE PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 10/14/2024
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 1185 W CARMEL DR BLDG C-1
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City | CARMEL
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State | IN
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Zip | 46032-8706
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Country | US
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Telephone | 317-415-6980
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Fax |
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Provider Business Mailing Address
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Address Line | 6086 W BLACKHAWK STA
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City | MCCORDSVILLE
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State | IN
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Zip | 46055-9448
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Country | US
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Telephone | 317-989-1005
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05015112A
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License Number State | IN
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