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General NPI Number Information
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NPI Number | 1891168951
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Entity Type | Individual
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Provider Name | RACHAEL LYNN PLUMLEY
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Gender | Female
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Dates
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Enumeration Date | 11/10/2015
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Last Update Date | 11/10/2015
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Provider Practice Location Address
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Address Line | 670 COUNTY ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-6719
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Country | US
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Telephone | 508-994-2400
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Fax |
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Provider Business Mailing Address
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Address Line | 115 HILLMAN ST
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City | NEW BEDFORD
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State | MA
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Zip | 02740-6500
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Country | US
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Telephone | 401-347-9332
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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 | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | 3590
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 224Z00000X
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Taxonomy Name | Occupational Therapy Assistant
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License Number | OTA00627
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License Number State | RI
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