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General NPI Number Information
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NPI Number | 1619861739
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Entity Type | Individual
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Provider Name | RACHEL ELIZABETH ANDERSON MT-BC, LPMT
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Gender | Female
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Dates
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Enumeration Date | 06/04/2025
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 44219 AIRPORT RD BLDG 1
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City | CALIFORNIA
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State | MD
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Zip | 20619-2010
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Country | US
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Telephone | 667-205-4500
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Fax | 667-205-4505
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Provider Business Mailing Address
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Address Line | 44219 AIRPORT RD BLDG 1
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City | CALIFORNIA
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State | MD
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Zip | 20619-2010
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Country | US
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Telephone | 667-205-4500
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Fax | 667-205-4505
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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 | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 19505
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 225A00000X
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Taxonomy Name | Music Therapist
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License Number | 00198
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License Number State | MD
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