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General NPI Number Information
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NPI Number | 1598509580
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Entity Type | Individual
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Provider Name | RACHEL PEREA
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Gender | Female
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Dates
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Enumeration Date | 06/24/2024
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Last Update Date | 04/08/2025
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Provider Practice Location Address
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Address Line | 4928 DELMAR BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1615
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Country | US
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Telephone | 314-899-0846
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Fax |
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Provider Business Mailing Address
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Address Line | 2322 RUSSELL BLVD
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City | SAINT LOUIS
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State | MO
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Zip | 63104-2609
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Country | US
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Telephone | 631-745-5245
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 2025008590
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License Number State | MO
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