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NPI Code Detail

MEDICARE: ALLI RACH

MEDICARE: ALLI RACH
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1103K00000XBehavior AnalystMN

General Provider Information

NPI Number : 1255092763
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALLI RACH
Provider Business Mailing Address
First Line : 1301 MILLER TRUNK HWY STE 500
Second Line :
City : DULUTH
State : MN
Zip : 55811-5644
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1301 MILLER TRUNK HWY STE 500
Second Line :
City : DULUTH
State : MN
Zip : 55811-5644
Country : US
Telephone Number : 952-814-0207
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/06/2022
Last Update Date : 05/21/2026

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Directions to “ ALLI RACH ” Practice Location

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