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General NPI Number Information
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NPI Number | 1649426271
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Entity Type | Individual
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Provider Name | RACHEL MOSIER LISW
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Gender | Female
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Dates
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Enumeration Date | 08/14/2008
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Last Update Date | 01/03/2020
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Provider Practice Location Address
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Address Line | 323 2ND ST NW
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City | MOUNT VERNON
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State | IA
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Zip | 52314-1202
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Country | US
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Telephone | 773-266-4432
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Fax |
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Provider Business Mailing Address
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Address Line | 323 2ND ST NW
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City | MOUNT VERNON
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State | IA
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Zip | 52314-1202
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Country | US
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Telephone | 773-266-4432
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | 150-011834
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 34006782A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 149-014097
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 074805
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License Number State | IA
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