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General NPI Number Information
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NPI Number | 1982443271
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Entity Type | Organization
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Legal Business Name | RACHEL COSTIN, LLC
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Dates
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Enumeration Date | 05/24/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 201 THIRD AVE STE 105C
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City | SEWARD
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State | AK
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Zip | 99664
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Country | US
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Telephone | 615-270-1883
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 301
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City | SEWARD
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State | AK
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Zip | 99664-0301
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Country | US
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Telephone | 615-270-1883
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Fax |
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | RACHEL L COSTIN
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Credential | LPC
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Telephone | 615-336-6373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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