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General NPI Number Information
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NPI Number | 1205480571
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Entity Type | Individual
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Provider Name | RACHEL WELTER MARTINEZ DAC
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Gender | Female
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Dates
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Enumeration Date | 07/25/2019
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Last Update Date | 07/25/2019
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Provider Practice Location Address
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Address Line | 120 DUDLEY ST STE 103
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City | PROVIDENCE
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State | RI
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Zip | 02905-2431
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Country | US
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Telephone | 401-272-8262
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Fax |
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Provider Business Mailing Address
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Address Line | 204 PAWTUXET AVE
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City | CRANSTON
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State | RI
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Zip | 02905-3919
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Country | US
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Telephone | 401-339-1227
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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 | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | DA00487
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License Number State | RI
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