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NPI Code Detail

MEDICARE: RACHEL GODBY

MEDICARE:   RACHEL  GODBY
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
1171M00000XCase Manager/Care Coordinator

General Provider Information

NPI Number : 1336698240
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL GODBY
Provider Business Mailing Address
First Line : 807 FLOWING MEADOW DR
Second Line :
City : HENDERSON
State : NV
Zip : 89014-2668
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 244 SERENITY RIDGE CT
Second Line :
City : HENDERSON
State : NV
Zip : 89052-5913
Country : US
Telephone Number : 702-371-4685
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/04/2016
Last Update Date : 10/04/2016

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Directions to “ RACHEL GODBY ” Practice Location

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