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General NPI Number Information
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NPI Number | 1982944781
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Entity Type | Individual
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Provider Name | RACHEL LYNN ECCLES MA LPCC-S
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Gender | Female
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Dates
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Enumeration Date | 02/15/2013
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Last Update Date | 06/14/2018
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Provider Practice Location Address
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Address Line | 3325 GLENMORE AVE
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City | CINCINNATI
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State | OH
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Zip | 45211
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Country | US
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Telephone | 513-231-6631
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Fax |
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Provider Business Mailing Address
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Address Line | 615 DELMAR PL
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City | COVINGTON
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State | KY
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Zip | 41014-1457
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Country | US
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Telephone | 513-276-6901
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E1100640
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | C.1100640
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License Number State | OH
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Taxonomy #3
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | E.1100640.SUPV
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License Number State | OH
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