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General NPI Number Information
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NPI Number | 1700397767
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Entity Type | Individual
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Provider Name | RACHEL MEZ
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Gender | Female
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Dates
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Enumeration Date | 10/17/2017
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Last Update Date | 10/17/2017
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Provider Practice Location Address
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Address Line | 7425 W AZURE DR
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City | LAS VEGAS
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State | NV
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Zip | 89130-4418
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Country | US
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Telephone | 702-515-4009
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Fax |
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Provider Business Mailing Address
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Address Line | 11393 RANCHO VILLA VERDE PL
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City | LAS VEGAS
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State | NV
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Zip | 89138-1551
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Country | US
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Telephone | 702-343-9787
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 17-0966
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License Number State | NV
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