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General NPI Number Information
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NPI Number | 1700389475
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Entity Type | Organization
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Legal Business Name | RACHOW PHYSICAL THERAPY LLC
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Dates
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Enumeration Date | 03/08/2018
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 111 LILAC DR
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City | LIBERAL
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State | KS
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Zip | 67901-2058
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Country | US
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Telephone | 715-553-0334
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Fax |
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Provider Business Mailing Address
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Address Line | 111 LILAC DR
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City | LIBERAL
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State | KS
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Zip | 67901-2058
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PHYSICAL THERAPIST
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Name | MOLLY M RACHOW
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Credential | DPT
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Telephone | 620-644-9110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number | 11-04977
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License Number State | KS
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