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NPI 1821964636

NPI 1821964636 : RACHAEL KING : PLYMOUTH, MI

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General NPI Number Information
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    NPI Number           |    1821964636
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    Entity Type          |    Individual 
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    Provider Name        |    RACHAEL KING
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/17/2025
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    Last Update Date     |    10/17/2025
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Provider Practice Location Address
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    Address Line         |    801 W ANN ARBOR TRL STE 220 
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    City                 |    PLYMOUTH
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    State                |    MI
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    Zip                  |    48170-6224
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    Country              |    US
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    Telephone            |    866-991-0900
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    28 WOODLAWN TER 
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    City                 |    FREDERICKSBURG
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    State                |    VA
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    Zip                  |    22405-3357
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    Country              |    US
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    Telephone            |    540-940-3180
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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       |    2025028394
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    License Number State |    MO
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Taxonomy #2
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    Taxonomy Code        |    225X00000X
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    Taxonomy Name        |    Occupational Therapist
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    License Number       |    0119010998
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    License Number State |    VA
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