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General NPI Number Information
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NPI Number | 1053999730
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Entity Type | Individual
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Provider Name | RACHEL CARLSON MD
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Gender | Female
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Dates
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Enumeration Date | 04/01/2021
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 6611 RIVER PLACE BLVD STE 202
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City | AUSTIN
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State | TX
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Zip | 78730-1167
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Country | US
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Telephone | 512-473-8300
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Fax |
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Provider Business Mailing Address
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Address Line | 6431 FANNIN ST STE 3.214
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City | HOUSTON
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State | TX
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Zip | 77030-1501
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Country | US
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Telephone | 713-500-6397
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | V5989
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License Number State | TX
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