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General NPI Number Information
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NPI Number | 1720625197
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Entity Type | Organization
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Legal Business Name | RACHAEL RINGWOOD LCSW, LLC
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Dates
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Enumeration Date | 12/04/2019
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Last Update Date | 12/04/2019
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Provider Practice Location Address
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Address Line | 2029 SE JEFFERSON ST STE 107
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City | MILWAUKIE
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State | OR
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Zip | 97222-7605
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Country | US
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Telephone | 801-706-6468
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Fax | 877-743-1725
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Provider Business Mailing Address
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Address Line | 2029 SE JEFFERSON ST STE 107
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City | MILWAUKIE
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State | OR
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Zip | 97222-7605
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Country | US
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Telephone | 801-706-6468
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Fax | 877-449-3910
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Authorized Official
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Title or Position | OWNER
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Name | RACHAEL RINGWOOD
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Credential | LCSW
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Telephone | 385-743-1725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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