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General NPI Number Information
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NPI Number | 1275024549
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Entity Type | Individual
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Provider Name | RACHEL ELISA NEAL
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Gender | Female
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Dates
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Enumeration Date | 05/22/2018
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Last Update Date | 05/22/2018
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Provider Practice Location Address
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Address Line | 3182 KAYWOOD DR
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City | ESCONDIDO
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State | CA
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Zip | 92026-8411
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Country | US
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Telephone | 619-558-4592
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Fax |
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Provider Business Mailing Address
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Address Line | 3182 KAYWOOD DR
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City | ESCONDIDO
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State | CA
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Zip | 92026-8411
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Country | US
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Telephone | 619-554-4852
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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 | 163WM0705X
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Taxonomy Name | Medical-Surgical Registered Nurse
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License Number | 9
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 95
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License Number State | CA
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