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General NPI Number Information
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NPI Number | 1851047476
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Entity Type | Organization
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Legal Business Name | REACH UNLIMITED POSSIBILITIES LLC
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Dates
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Enumeration Date | 02/22/2022
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Last Update Date | 02/22/2022
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Provider Practice Location Address
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Address Line | 64364 250TH ST
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City | DEXTER
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State | MN
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Zip | 55926-7159
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Country | US
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Telephone | 507-440-0519
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Fax |
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Provider Business Mailing Address
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Address Line | 64364 250TH ST
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City | DEXTER
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State | MN
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Zip | 55926-7159
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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 | SPEECH-LANGUAGE PATHOLOGIST
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Name | RACHAEL ALLEN
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Credential |
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Telephone | 507-440-0519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number |
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License Number State |
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