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General NPI Number Information
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NPI Number | 1114898541
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Entity Type | Individual
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Provider Name | RACHAEL DEERE APRN
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Gender | Female
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Dates
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Enumeration Date | 09/17/2025
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Last Update Date | 09/17/2025
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Provider Practice Location Address
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Address Line | 5015 SHED RD STE 400
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City | BOSSIER CITY
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State | LA
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Zip | 71111-5585
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Country | US
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Telephone | 318-655-8525
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Fax |
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Provider Business Mailing Address
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Address Line | 2635 FIREFLY TRL
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City | HAUGHTON
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State | LA
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Zip | 71037-7710
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Country | US
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Telephone | 318-317-9999
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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 | 129791
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License Number State | LA
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