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General NPI Number Information
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NPI Number | 1760138507
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Entity Type | Individual
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Provider Name | RACHELLE LYNN WEBB L.A.C.
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Gender | Female
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Dates
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Enumeration Date | 03/01/2022
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Last Update Date | 03/07/2022
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Provider Practice Location Address
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Address Line | 1209 PARKWAY
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City | AUSTIN
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State | TX
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Zip | 78703
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Country | US
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Telephone | 512-236-1377
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Fax |
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Provider Business Mailing Address
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Address Line | ROCHELLE L. WEBB 14506 DEAF SMITH BLVD
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City | AUSTIN
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State | TX
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Zip | 78725
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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 |
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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 | 171000000X
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Taxonomy Name | Military Health Care Provider
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License Number | TXLAC00399
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License Number State |
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