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General NPI Number Information
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NPI Number | 1992040851
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Entity Type | Individual
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Provider Name | RACHEL ANN KONKLER OTR/L
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Gender | Female
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 08/03/2025
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Provider Practice Location Address
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Address Line | 401 MATTHEW ST
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City | MARIETTA
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State | OH
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Zip | 45750-1635
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Country | US
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Telephone | 740-374-1422
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Fax |
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Provider Business Mailing Address
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Address Line | 18439 WOLF RUN RD
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City | CALDWELL
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State | OH
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Zip | 43724-8903
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Country | US
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Telephone | 740-509-0042
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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 | OT009985
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License Number State | OH
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