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General NPI Number Information
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NPI Number | 1346195989
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Entity Type | Individual
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Provider Name | RACHELLE MAPULA PORTER RN
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Gender | Female
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Dates
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Enumeration Date | 02/27/2026
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Last Update Date | 02/27/2026
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Provider Practice Location Address
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Address Line | 836 W WELLINGTON AVE
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City | CHICAGO
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State | IL
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Zip | 60657-5147
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Country | US
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Telephone | 773-296-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 8549 LAWNDALE AVE
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City | SKOKIE
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State | IL
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Zip | 60076-2331
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Country | US
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Telephone | 773-296-5145
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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 | 364SI0800X
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Taxonomy Name | Informatics Clinical Nurse Specialist
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License Number | 041312724
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License Number State | IL
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