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General NPI Number Information
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NPI Number | 1023531506
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Entity Type | Individual
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Provider Name | RACHEL CARSON DOERR APRN
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Gender | Female
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Dates
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Enumeration Date | 07/17/2017
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Last Update Date | 11/13/2019
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Provider Practice Location Address
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Address Line | 1707 RIGGINS RD
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5317
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Country | US
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Telephone | 850-877-4134
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Fax | 850-942-4112
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Provider Business Mailing Address
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Address Line | PO BOX 13834
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City | TALLAHASSEE
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State | FL
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Zip | 32317-3834
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Country | US
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Telephone | 850-877-4134
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Fax | 850-942-4112
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | APRN11003563
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License Number State | FL
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