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General NPI Number Information
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NPI Number | 1831450915
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Entity Type | Individual
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Provider Name | RACHEL ARVELLA PRYDE LCSW
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Gender | Female
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 02/01/2019
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Provider Practice Location Address
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Address Line | 1644 HIGHWAY 395 N SUITE D
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City | MINDEN
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State | NV
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Zip | 89423
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Country | US
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Telephone | 307-880-7224
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Fax |
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Provider Business Mailing Address
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Address Line | 1644 HIGHWAY 395 N SUITE D
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City | MINDEN
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State | NV
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Zip | 89423
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Country | US
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Telephone | 307-880-7224
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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 | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW79420
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | LCSW-930
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License Number State | WY
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Taxonomy #3
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | PCSW-496
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License Number State | WY
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 496
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License Number State | WY
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Taxonomy #5
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 8049-C
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License Number State | NV
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