Basic Information
Provider Information
NPI: 1356750988
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: BARBAR
FirstName: RACHEL
MiddleName: L
NamePrefix:  
NameSuffix:  
Credential: MS, LCGC
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 985450 NEBRASKA MEDICAL CTR
Address2:  
City: OMAHA
State: NE
PostalCode: 681985450
CountryCode: US
TelephoneNumber: 4025595209
FaxNumber: 4025595737
Practice Location
Address1: 444 S 44TH ST
Address2:  
City: OMAHA
State: NE
PostalCode: 681313727
CountryCode: US
TelephoneNumber: 4025595209
FaxNumber: 4025595737
Other Information
ProviderEnumerationDate: 08/07/2014
LastUpdateDate: 08/14/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: Y
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
170300000X13NEY Other Service ProvidersGenetic Counselor, MS 

No ID Information.


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