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General NPI Number Information
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NPI Number | 1063686061
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Entity Type | Individual
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Provider Name | RACHYL D IRELAND NP
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Gender | Female
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Dates
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Enumeration Date | 04/22/2008
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 4200 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872-1986
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Country | US
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Telephone | 863-382-6183
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Fax | 863-382-1433
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Provider Business Mailing Address
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Address Line | 4200 SUN N LAKE BLVD
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City | SEBRING
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State | FL
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Zip | 33872-1986
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Country | US
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Telephone | 863-382-6183
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Fax | 863-382-1433
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F335486-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9323073
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License Number State | FL
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