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General NPI Number Information
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NPI Number | 1679090500
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Entity Type | Individual
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Provider Name | RACHEL NOVAKOVICH DPT
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Gender | Female
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Dates
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Enumeration Date | 08/22/2017
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Last Update Date | 02/06/2026
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Provider Practice Location Address
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Address Line | 325 SLATE LN APT 8107
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City | MT PLEASANT
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State | SC
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Zip | 29464-6709
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Country | US
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Telephone | 412-780-4035
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Fax |
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Provider Business Mailing Address
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Address Line | 1367 TARA RD
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City | CHARLESTON
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State | SC
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Zip | 29407-5131
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Country | US
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Telephone | 412-780-4035
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Fax | 866-394-5788
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 8725
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License Number State | SC
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