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General NPI Number Information
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NPI Number | 1689127037
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Entity Type | Individual
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Provider Name | RACHEL ANN CRUZ LICSW, MSW, MHP
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Gender | Female
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Dates
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Enumeration Date | 08/02/2016
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Last Update Date | 11/03/2024
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Provider Practice Location Address
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Address Line | 5915 ORCHARD ST W
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City | TACOMA
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State | WA
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Zip | 98467-3824
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Country | US
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Telephone | 253-414-7461
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Fax | 253-627-8387
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Provider Business Mailing Address
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Address Line | 5915 ORCHARD ST W
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City | UNIVERSITY PLACE
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State | WA
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Zip | 98467-3824
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Country | US
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Telephone | 534-147-4612
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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 | 104100000X
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Taxonomy Name | Social Worker
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License Number | LW61334224
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License Number State | WA
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