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General NPI Number Information
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NPI Number | 1700406006
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Entity Type | Individual
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Provider Name | RACHEL JEAN PARKER CPC
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Gender | Female
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Dates
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Enumeration Date | 04/16/2020
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Last Update Date | 08/04/2022
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Provider Practice Location Address
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Address Line | 601 W FRANKLIN ST
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City | SHELTON
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State | WA
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Zip | 98584-3518
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Country | US
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Telephone | 360-462-3016
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Fax | 360-719-1709
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Provider Business Mailing Address
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Address Line | PO BOX 863
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City | SHELTON
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State | WA
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Zip | 98584-0863
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Country | US
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Telephone | 360-999-1277
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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 | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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