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NPI Code Detail

MEDICARE: MRS. RACHAEL HUSH MS, SLP-CCC

MEDICARE: MRS. RACHAEL HUSH MS, SLP-CCC
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
1235Z00000XSpeech-Language Pathologist2557NM

General Provider Information

NPI Number : 1275600736
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHAEL HUSH MS, SLP-CCC
Provider Business Mailing Address
First Line : 13333 DESERT FLOWER PL NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-5509
Country : US
Telephone Number : 505-401-8771
Fax Number :
Provider Business Practice Location Address
First Line : 11300 MONTGOMERY BLVD NE
Second Line :
City : ALBUQUERQUE
State : NM
Zip : 87111-2602
Country : US
Telephone Number : 505-296-4871
Fax Number : 505-291-6805
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/29/2006
Last Update Date : 07/08/2007

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