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General NPI Number Information
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NPI Number | 1376416867
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Entity Type | Individual
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Provider Name | RACHEL ANN CLEMENTS CPHT
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Gender | Female
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Dates
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Enumeration Date | 09/29/2025
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Last Update Date | 09/29/2025
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Provider Practice Location Address
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Address Line | 801 N LOYALSOCK AVE
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City | MONTOURSVILLE
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State | PA
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Zip | 17754-1023
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Country | US
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Telephone | 570-368-5599
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Fax |
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Provider Business Mailing Address
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Address Line | 2106 KENWOOD AVE
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City | WILLIAMSPORT
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State | PA
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Zip | 17701-1416
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Country | US
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Telephone | 570-560-1711
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 410101070950909
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License Number State | PA
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