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General NPI Number Information
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NPI Number | 1114373198
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Entity Type | Individual
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Provider Name | RACHEL STOCKSTILL MARTIN F.N.P.
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Gender | Female
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 13911 ST FRANCIS BLVD SUITE 101
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City | MIDLOTHIAN
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State | VA
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Zip | 23114-3256
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Country | US
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Telephone | 804-320-3999
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Fax |
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Provider Business Mailing Address
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Address Line | 5522 DANLEY LN
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City | HENRICO
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State | VA
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Zip | 23228-5809
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Country | US
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Telephone | 804-426-8887
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 0024173539
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 0001233842
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License Number State | VA
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