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General NPI Number Information
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NPI Number | 1578219556
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Entity Type | Individual
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Provider Name | MS. RACHEL STOTTS
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Gender | Female
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Dates
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Enumeration Date | 02/28/2022
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Last Update Date | 02/28/2022
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Provider Practice Location Address
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Address Line | 1229 E PLEASANT RUN RD STE 305
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City | DESOTO
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State | TX
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Zip | 75115-4229
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Country | US
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Telephone | 469-518-6034
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Fax |
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Provider Business Mailing Address
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Address Line | 1955 MARKET CENTER BLVD APT 2305
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City | DALLAS
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State | TX
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Zip | 75207-3475
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Country | US
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Telephone | 414-551-1589
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | 87882
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License Number State | TX
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