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General NPI Number Information
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NPI Number | 1104145267
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Entity Type | Individual
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Provider Name | RACHEL CATHERINE SMITH RN
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Gender | Female
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Dates
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Enumeration Date | 05/27/2010
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Last Update Date | 05/27/2010
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Provider Practice Location Address
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Address Line | 81 OCEAN PKWY APT 3B
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City | BROOKLYN
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State | NY
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Zip | 11218-1763
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Country | US
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Telephone | 718-871-1365
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Fax |
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Provider Business Mailing Address
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Address Line | 117 E 39TH ST APT 4R
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City | NEW YORK
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State | NY
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Zip | 10016-0904
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Country | US
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Telephone | 917-860-2971
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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 | 163WP0200X
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Taxonomy Name | Pediatric Registered Nurse
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License Number | 613845-1
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License Number State | NY
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