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General NPI Number Information
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NPI Number | 1568214765
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Entity Type | Individual
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Provider Name | RACHEL RAE MCKINLEY
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Gender | Female
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 2149 ELECTRIC RD STE 5
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City | ROANOKE
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State | VA
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Zip | 24018-1975
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Country | US
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Telephone | 540-218-2008
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Fax | 540-900-2689
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Provider Business Mailing Address
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Address Line | 1901 ARDEN RD SW APT A
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City | ROANOKE
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State | VA
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Zip | 24015-2727
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Country | US
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Telephone | 540-798-6831
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 0906015105
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License Number State | VA
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