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General NPI Number Information
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NPI Number | 1669262366
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Entity Type | Individual
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Provider Name | RACHEL ANNE EWING
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Gender | Female
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Dates
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Enumeration Date | 05/07/2025
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Last Update Date | 05/07/2025
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Provider Practice Location Address
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Address Line | 2227 S GARNETT RD STE 106
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City | TULSA
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State | OK
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Zip | 74129-5115
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Country | US
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Telephone | 918-409-9677
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Fax |
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Provider Business Mailing Address
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Address Line | 3763 E 82ND CT
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City | TULSA
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State | OK
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Zip | 74137-1604
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Country | US
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Telephone | 918-408-4956
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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