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General NPI Number Information
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NPI Number | 1922251974
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Entity Type | Individual
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Provider Name | RACHAEL A.H. HOPPER PHD, LADAC
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Gender | Female
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Dates
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Enumeration Date | 11/03/2008
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Last Update Date | 06/30/2023
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Provider Practice Location Address
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Address Line | 1201 COLLEGE DR
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City | MENA
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State | AR
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Zip | 71953-2513
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Country | US
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Telephone | 479-222-0981
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Fax |
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Provider Business Mailing Address
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Address Line | 403 MORROW ST N STE D
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City | MENA
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State | AR
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Zip | 71953-4324
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Country | US
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Telephone | 479-222-0981
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number | 371L
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License Number State | AR
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Taxonomy #2
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number | 10-01P
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License Number State | AR
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