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General NPI Number Information
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NPI Number | 1659230605
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Entity Type | Individual
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Provider Name | RACHAEL RANEY RILEY SHULTIS 101YP2500X
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Gender | Female
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Dates
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Enumeration Date | 01/16/2026
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Last Update Date | 01/16/2026
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Provider Practice Location Address
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Address Line | 696 BERKMAR CIR STE 3B
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22901-1464
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Country | US
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Telephone | 877-566-9624
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Fax | 804-237-0321
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Provider Business Mailing Address
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Address Line | 1013 LINDEN AVE APT M
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City | CHARLOTTESVILLE
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State | VA
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Zip | 22902-9022
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Country | US
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Telephone | 877-566-9624
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Fax | 804-237-0321
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | 0701015722
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License Number State | VA
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