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General NPI Number Information
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NPI Number | 1689267528
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Entity Type | Individual
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Provider Name | RACHEL ELIZABETH LEE
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Gender | Female
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 02/11/2021
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Provider Practice Location Address
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Address Line | 1441 WESTSIDE BLVD NW
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City | ROANOKE
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State | VA
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Zip | 24017-2731
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Country | US
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Telephone | 540-853-2967
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Fax |
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Provider Business Mailing Address
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Address Line | 4440 BANBURY LN APT I
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City | ROANOKE
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State | VA
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Zip | 24018-2358
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Country | US
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Telephone | 850-212-0012
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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