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General NPI Number Information
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NPI Number | 1962536110
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Entity Type | Individual
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Provider Name | RACHEL G MCCAULEY D.PH.
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Gender | Female
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Dates
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Enumeration Date | 03/16/2007
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Last Update Date | 01/27/2015
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Provider Practice Location Address
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Address Line | 207 ELK AVE S
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-3051
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Country | US
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Telephone | 931-625-2815
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Fax | 931-433-0371
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Provider Business Mailing Address
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Address Line | PO BOX 68
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City | FAYETTEVILLE
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State | TN
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Zip | 37334-0068
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Country | US
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Telephone | 931-625-2815
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 1532
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 797
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License Number State | TN
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