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General NPI Number Information
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NPI Number | 1285991711
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Entity Type | Individual
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Provider Name | CAROLAN RACHEL CONSTANTINE
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Gender | Female
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Dates
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Enumeration Date | 04/22/2012
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Last Update Date | 12/14/2022
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Provider Practice Location Address
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Address Line | 1660 S COLUMBIAN WAY
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City | SEATTLE
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State | WA
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Zip | 98108-1532
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Country | US
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Telephone | 206-762-1010
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Fax |
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Provider Business Mailing Address
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Address Line | 15218 GREENWOOD AVE N
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City | SHORELINE
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State | WA
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Zip | 98133-6115
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Country | US
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Telephone | 541-223-3627
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD60872531
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | DR.0058137
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License Number State | CO
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