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General NPI Number Information
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NPI Number | 1295226090
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Entity Type | Individual
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Provider Name | RACHEL CREEVY D'ERRICO APRN
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Gender | Female
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Dates
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Enumeration Date | 05/29/2018
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 7991 BEECHMONT AVE
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City | CINCINNATI
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State | OH
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Zip | 45255-3189
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Country | US
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Telephone | 513-346-3399
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Fax |
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Provider Business Mailing Address
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Address Line | 4685 FOREST AVE
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City | CINCINNATI
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State | OH
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Zip | 45212-3397
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Country | US
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Telephone | 513-246-1964
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 122382
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 7761
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License Number State | CT
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Taxonomy #3
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | APRN.CNP.0028805
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License Number State | OH
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