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General NPI Number Information
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NPI Number | 1831628072
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Entity Type | Individual
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Provider Name | RACHEL LOULACHE MS.ED, LABA
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Gender | Female
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Dates
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Enumeration Date | 06/10/2017
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Last Update Date | 10/25/2021
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Provider Practice Location Address
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Address Line | 262 WESTFIELD RD
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City | HOLYOKE
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State | MA
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Zip | 01040-1662
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Country | US
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Telephone | 508-954-6132
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Fax |
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Provider Business Mailing Address
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Address Line | 168 UPTON ST UNIT 4
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City | GRAFTON
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State | MA
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Zip | 01519-1429
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Country | US
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Telephone | 508-954-6132
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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 | 103K00000X
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Taxonomy Name | Behavior Analyst
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License Number | 000001876
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License Number State | MA
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