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NPI 1669342424

NPI 1669342424 : RACHEL SMITH LMSW : KOTZEBUE, AK

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General NPI Number Information
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    NPI Number           |    1669342424
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL SMITH LMSW
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/07/2025
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    Last Update Date     |    11/07/2025
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Provider Practice Location Address
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    Address Line         |    733 2ND AVE 
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    City                 |    KOTZEBUE
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    State                |    AK
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    Zip                  |    99752
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    Country              |    US
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    Telephone            |    907-442-7640
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    Fax                  |    907-442-7640
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Provider Business Mailing Address
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    Address Line         |    PO BOX 48 
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    City                 |    KOTZEBUE
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    State                |    AK
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    Zip                  |    99752-0048
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    Country              |    US
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    Telephone            |    765-419-8118
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    Fax                  |    765-419-8118
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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        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    242139
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    License Number State |    AK
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