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General NPI Number Information
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NPI Number | 1033843370
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Entity Type | Individual
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Provider Name | RACHEL LEIGH SHIREY
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Gender | Female
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Dates
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Enumeration Date | 07/12/2022
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Last Update Date | 08/02/2022
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Provider Practice Location Address
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Address Line | 1991 CROCKER ROAD SUITE 600A
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City | WESTLAKE
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State | OH
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Zip | 44145
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Country | US
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Telephone | 415-403-2156
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Fax |
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Provider Business Mailing Address
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Address Line | 1325 CITY PARK AVE
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City | COLUMBUS
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State | OH
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Zip | 43206-3611
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Country | US
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Telephone | 567-224-8097
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | APRN.CNP.0031521
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License Number State | OH
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