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General NPI Number Information
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NPI Number | 1295343358
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Entity Type | Individual
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Provider Name | RACHEL NICOLE WITT APRN
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Gender | Female
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Dates
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Enumeration Date | 07/15/2020
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 2111 E STATE ST
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City | ATHENS
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State | OH
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Zip | 45701-2138
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Country | US
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Telephone | 740-566-4621
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Fax | 740-566-4622
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Provider Business Mailing Address
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Address Line | 2443 TROY RD
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City | SPRINGFIELD
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State | OH
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Zip | 45504-4233
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Country | US
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Telephone | 937-505-6505
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | F01201157
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License Number State | OH
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