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General NPI Number Information
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NPI Number | 1134946486
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Entity Type | Individual
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Provider Name | RACHEL ESTADT PA-C
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Gender | Female
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Dates
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Enumeration Date | 09/26/2024
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Last Update Date | 10/24/2024
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Provider Practice Location Address
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Address Line | 716 ADAIR AVE
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City | ZANESVILLE
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State | OH
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Zip | 43701-2843
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Country | US
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Telephone | 740-891-9000
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Fax |
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Provider Business Mailing Address
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Address Line | 2735 RED FOX
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City | DUNCAN FALLS
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State | OH
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Zip | 43734-9742
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Country | US
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Telephone | 740-624-7831
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.009063RX
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License Number State | OH
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