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NPI 1578005369

NPI 1578005369 : RACHEL HARRINGTON VIERRA SLP-CCC : SANTA FE, NM

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General NPI Number Information
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    NPI Number           |    1578005369
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL HARRINGTON VIERRA SLP-CCC
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/09/2016
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    Last Update Date     |    02/02/2023
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Provider Practice Location Address
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    Address Line         |    18 PUESTA DEL SOL 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87508-5944
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    Country              |    US
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    Telephone            |    505-670-0959
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    24 CALLE SAN ACACIA 
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    City                 |    SANTA FE
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    State                |    NM
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    Zip                  |    87506-2011
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    Country              |    US
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    Telephone            |    505-670-0959
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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        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    RPE11177
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    License Number State |    CA
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Taxonomy #2
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    Taxonomy Code        |    235Z00000X
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    Taxonomy Name        |    Speech-Language Pathologist
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    License Number       |    
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    License Number State |    NM
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