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General NPI Number Information
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NPI Number | 1174145189
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Entity Type | Individual
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Provider Name | RACHAEL ANN WARREN RN
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Gender | Female
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Dates
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Enumeration Date | 05/13/2020
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Last Update Date | 09/23/2024
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Provider Practice Location Address
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Address Line | 203 S DAISY ST
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City | SALMON
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State | ID
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Zip | 83467-4709
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Country | US
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Telephone | 208-756-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 2009 NE 117TH ST
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City | VANCOUVER
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State | WA
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Zip | 98686-4022
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Country | US
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Telephone | 360-566-9112
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 71618
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License Number State | ID
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