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General NPI Number Information
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NPI Number | 1023202207
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Entity Type | Individual
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Provider Name | HEATHER RENEE RACHAL CPNP-AC/PC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2007
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 217 BREVARD CT STE D
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3997
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Country | US
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Telephone | 318-777-6887
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Fax |
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Provider Business Mailing Address
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Address Line | 5719 MILDRED AVE
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City | ALEXANDRIA
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State | LA
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Zip | 71301-2827
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Country | US
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Telephone | 318-487-0606
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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 | 363LP0222X
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Taxonomy Name | Critical Care Pediatric Nurse Practitioner
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License Number | AP05266
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | AP05266
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License Number State | LA
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