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General NPI Number Information
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NPI Number | 1588131981
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Entity Type | Individual
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Provider Name | RACHEL TWEED
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Gender | Female
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Dates
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Enumeration Date | 10/24/2018
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Last Update Date | 10/24/2018
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Provider Practice Location Address
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Address Line | 3720 RAWLINS ST APT I
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City | DALLAS
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State | TX
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Zip | 75219-4220
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Country | US
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Telephone | 469-431-3902
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Fax |
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Provider Business Mailing Address
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Address Line | 9010 MARKVILLE DR APT 1123
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City | DALLAS
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State | TX
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Zip | 75243-3595
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Country | US
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Telephone | 214-205-7156
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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 | 75004
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License Number State | TX
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