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General NPI Number Information
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NPI Number | 1225224769
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Entity Type | Individual
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Provider Name | RACHEL E DERR
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Gender | Female
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Dates
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Enumeration Date | 09/19/2007
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Last Update Date | 06/15/2020
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Provider Practice Location Address
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Address Line | 290 BILMAR DR
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City | PITTSBURGH
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State | PA
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Zip | 15205-4601
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Country | US
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Telephone | 412-344-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 117 SUNCREST CT
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City | CANONSBURG
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State | PA
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Zip | 15317-4866
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Country | US
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Telephone | 304-610-0609
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT018931
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License Number State | PA
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