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General NPI Number Information
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NPI Number | 1265646582
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Entity Type | Individual
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Provider Name | RACHAL ALICE DAVID M.D.
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Gender | Female
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Dates
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Enumeration Date | 05/09/2007
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Last Update Date | 01/09/2026
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Provider Practice Location Address
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Address Line | 241 SOUTHAVEN COURT
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City | KANNAPOLIS
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State | NC
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Zip | 28083
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Country | US
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Telephone | 504-296-6842
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Fax |
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Provider Business Mailing Address
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Address Line | 241 SOUTHAVEN CT
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City | KANNAPOLIS
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State | NC
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Zip | 28083-7001
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Country | US
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Telephone | 504-296-6842
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 121952
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 2005-01479
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 320994
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License Number State | LA
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Taxonomy #4
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2005-01479
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License Number State | NC
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