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General NPI Number Information
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NPI Number | 1558157784
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Entity Type | Individual
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Provider Name | RACHEL HELEN YOUNG LCSW
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Gender | Female
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Dates
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Enumeration Date | 04/15/2025
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Last Update Date | 04/15/2025
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Provider Practice Location Address
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Address Line | 3608 W SOUTHERN HILLS BLVD
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City | ROGERS
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State | AR
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Zip | 72758-8013
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Country | US
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Telephone | 479-633-7052
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Fax |
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Provider Business Mailing Address
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Address Line | 9 S SECHREST CIR
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City | ROGERS
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State | AR
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Zip | 72758-1405
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Country | US
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Telephone | 479-619-8584
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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 | 103406
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License Number State | TX
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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 | 10077-C
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License Number State | AR
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