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General NPI Number Information
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NPI Number | 1649662453
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Entity Type | Individual
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Provider Name | RACHEL ROTHERMEL
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Gender | Female
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Dates
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Enumeration Date | 03/03/2015
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Last Update Date | 11/17/2025
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Provider Practice Location Address
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Address Line | 5702 ELAINE DR STE 201
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City | ROCKFORD
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State | IL
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Zip | 61108-2475
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Country | US
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Telephone | 815-988-6380
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Fax | 779-888-6858
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Provider Business Mailing Address
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Address Line | 124 NORTH ST
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City | ROCKTON
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State | IL
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Zip | 61072-2012
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Country | US
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Telephone | 815-988-6380
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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 | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 166.000951
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License Number State | IL
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