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NPI 1629540505

NPI 1629540505 : RACHEL NICOLE LAI : AURORA, CO

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General NPI Number Information
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    NPI Number           |    1629540505
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL NICOLE LAI
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    12/18/2018
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    Last Update Date     |    12/06/2025
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Provider Practice Location Address
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    Address Line         |    16401 E CENTRETECH PKWY STE 2 
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    City                 |    AURORA
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    State                |    CO
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    Zip                  |    80011-9066
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    Country              |    US
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    Telephone            |    720-706-3396
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8435 SHARI DR 
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    City                 |    WESTLAND
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    State                |    MI
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    Zip                  |    48185-7063
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    Country              |    US
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    Telephone            |    734-306-6225
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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        |    156F00000X
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    Taxonomy Name        |    Technician/Technologist
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    103K00000X
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    Taxonomy Name        |    Behavior Analyst
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    License Number       |    
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    License Number State |    
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