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General NPI Number Information
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NPI Number | 1972194058
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Entity Type | Individual
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Provider Name | RACHEL LEE WILLIAMS OTD, OTR/L
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Gender | Female
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Dates
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Enumeration Date | 02/01/2021
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Last Update Date | 02/01/2021
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Provider Practice Location Address
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Address Line | 13840 KING RD
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City | RIVERVIEW
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State | MI
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Zip | 48193-7972
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Country | US
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Telephone | 743-561-7000
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Fax |
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Provider Business Mailing Address
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Address Line | 875 SANTA FE CT
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City | TEMPERANCE
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State | MI
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Zip | 48182-9141
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Country | US
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Telephone | 419-410-1386
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | 5201008583
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License Number State | MI
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