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General NPI Number Information
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NPI Number | 1326831686
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Entity Type | Individual
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Provider Name | RACHEL KELLY FENTON
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Gender | Female
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 06/22/2026
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Provider Practice Location Address
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Address Line | 9885 STELLA PALM WAY UNIT 316
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City | FORT MYERS
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State | FL
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Zip | 33966-6608
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Country | US
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Telephone | 301-938-6835
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Fax |
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Provider Business Mailing Address
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Address Line | 9885 STELLA PALM WAY UNIT 316
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City | FORT MYERS
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State | FL
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Zip | 33966-6608
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Country | US
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Telephone |
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | APRN11047870
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License Number State | FL
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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 | RN9618864
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License Number State | FL
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