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General NPI Number Information
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NPI Number | 1689171373
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Entity Type | Individual
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Provider Name | RACHEL CONSTANCE DE METZ CAC, CET
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Gender | Female
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Dates
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Enumeration Date | 04/09/2018
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Last Update Date | 04/09/2018
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Provider Practice Location Address
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Address Line | 3601 W COMMERCIAL BLVD
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City | FORT LAUDERDALE
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State | FL
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Zip | 33309-3300
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Country | US
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Telephone | 954-934-8959
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Fax |
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Provider Business Mailing Address
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Address Line | 1484 NE 57TH PL
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City | FORT LAUDERDALE
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State | FL
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Zip | 33334-6120
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Country | US
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Telephone | 954-934-8959
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | FL
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