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General NPI Number Information
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NPI Number | 1316211212
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Entity Type | Individual
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Provider Name | RACHEL COWAN STUBBS FNP
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Gender | Female
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Dates
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Enumeration Date | 02/24/2012
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Last Update Date | 08/24/2023
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Provider Practice Location Address
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Address Line | 11382 N JACOB SMART BLVD STE D
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City | RIDGELAND
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State | SC
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Zip | 29936-2700
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Country | US
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Telephone | 843-441-9415
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Fax | 843-305-6107
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Provider Business Mailing Address
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Address Line | 25 VISTA POINT DR
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City | SAVANNAH
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State | GA
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Zip | 31406-8906
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Country | US
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Telephone | 912-856-7904
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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 | RN112208 NP
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License Number State | GA
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