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General NPI Number Information
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NPI Number | 1053468074
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Entity Type | Individual
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Provider Name | RACHEL LARUE EDMEYER PA-C
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Gender | Female
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Dates
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Enumeration Date | 01/04/2007
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Last Update Date | 09/15/2025
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Provider Practice Location Address
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Address Line | 1001 CENTERBROOKE LN STE 100
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City | SUFFOLK
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State | VA
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Zip | 23434-8663
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Country | US
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Telephone | 757-702-8105
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 PLYMOUTH RD STE 250
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City | MINNETONKA
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State | MN
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Zip | 55305-2376
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Country | US
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Telephone | 952-767-2326
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Fax | 952-593-5187
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 0110008350
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License Number State | VA
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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 | 10078
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License Number State | MN
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