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General NPI Number Information
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NPI Number | 1124493820
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Entity Type | Individual
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Provider Name | RACHAEL COLDEN NP
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Gender | Female
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Dates
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Enumeration Date | 12/07/2015
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Last Update Date | 01/07/2020
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Provider Practice Location Address
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Address Line | 1805 COLUMBIA RD NW
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City | WASHINGTON
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State | DC
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Zip | 20009-2001
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Country | US
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Telephone | 27-974-9602
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1241
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City | SOUTH BEND
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State | IN
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Zip | 46624-1241
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Country | US
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Telephone | 855-691-9888
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 71005961A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | RN1055040
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License Number State | DC
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