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General NPI Number Information
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NPI Number | 1043651540
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Entity Type | Individual
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Provider Name | RACHEL SARA HERRIN PA-C
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Gender | Female
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Dates
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Enumeration Date | 07/12/2013
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 18275 N 59TH AVE STE 144
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City | GLENDALE
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State | AZ
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Zip | 85308-1253
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Country | US
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Telephone | 602-843-2300
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Fax | 602-843-2310
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Provider Business Mailing Address
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Address Line | 18275 N 59TH AVE STE 144
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City | GLENDALE
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State | AZ
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Zip | 85308-1253
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Country | US
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Telephone | 602-843-2300
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Fax | 602-843-2310
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 5399
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License Number State | AZ
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Taxonomy #2
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Taxonomy Code | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 5399
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 5399
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License Number State | AZ
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