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General NPI Number Information
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NPI Number | 1649098088
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Entity Type | Individual
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Provider Name | RACHAEL MCCULLOUGH DPT
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Gender | Female
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Dates
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Enumeration Date | 10/02/2024
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Last Update Date | 11/24/2025
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Provider Practice Location Address
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Address Line | 3701 BELLEMEADE AVE
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City | EVANSVILLE
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State | IN
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Zip | 47714-0137
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Country | US
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Telephone | 812-479-1411
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Fax |
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Provider Business Mailing Address
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Address Line | 1920 DIEFENBACH RD
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City | EVANSVILLE
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State | IN
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Zip | 47720-3349
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Country | US
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Telephone | 618-708-1208
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 05015052A
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License Number State | IN
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