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General NPI Number Information
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NPI Number | 1942571799
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Entity Type | Individual
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Provider Name | RACHEL L ROSENCRANTS
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Gender | Female
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Dates
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Enumeration Date | 01/25/2012
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Last Update Date | 07/05/2017
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Provider Practice Location Address
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Address Line | 2820 CROOKS RD STE 400
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City | ROCHESTER HILLS
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State | MI
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Zip | 48309-3673
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Country | US
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Telephone | 248-659-2110
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Fax |
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Provider Business Mailing Address
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Address Line | 5699 GENESEE RD
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City | LAPEER
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State | MI
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Zip | 48446-2749
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Country | US
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Telephone | 248-659-2110
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 6301014412
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License Number State | MI
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