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General NPI Number Information
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NPI Number | 1548986805
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Entity Type | Individual
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Provider Name | RACHEL E MARTIN LICSW
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Gender | Female
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Dates
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Enumeration Date | 10/18/2022
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Last Update Date | 06/17/2025
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Provider Practice Location Address
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Address Line | 8637 HOBHOUSE CIR
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City | RALEIGH
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State | NC
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Zip | 27615-4190
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Country | US
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Telephone | 360-953-0403
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Fax |
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Provider Business Mailing Address
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Address Line | 512 NIGHTINGALE CT
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City | WAKE FOREST
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State | NC
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Zip | 27587-9142
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Country | US
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Telephone | 360-953-0403
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LW61500440
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 17157
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License Number State | SC
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | C017833
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License Number State | NC
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