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General NPI Number Information
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NPI Number | 1700668670
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Entity Type | Individual
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Provider Name | REBECCA ACKLIN RDH
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Gender | Female
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Dates
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Enumeration Date | 10/16/2023
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Last Update Date | 10/16/2023
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Provider Practice Location Address
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Address Line | 301 E BETHANY HOME RD STE A212
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City | PHOENIX
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State | AZ
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Zip | 85012-1287
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Country | US
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Telephone | 602-699-5983
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Fax | 480-605-2287
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Provider Business Mailing Address
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Address Line | 301 E BETHANY HOME RD STE A212
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City | PHOENIX
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State | AZ
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Zip | 85012-1287
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Country | US
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Telephone | 602-699-5983
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Fax | 480-605-2287
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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 | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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License Number | H010188
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License Number State | AZ
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