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General NPI Number Information
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NPI Number | 1376848705
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Entity Type | Individual
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Provider Name | RACHEL CROTHERS M.D.
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Gender | Female
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Dates
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Enumeration Date | 01/15/2011
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Last Update Date | 10/27/2023
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Provider Practice Location Address
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Address Line | 1918 BONITA AVE STE 200
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City | BERKELEY
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State | CA
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Zip | 94704-1014
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Country | US
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Telephone | 510-473-6855
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Fax |
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Provider Business Mailing Address
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Address Line | 1918 BONITA AVE STE 200
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City | BERKELEY
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State | CA
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Zip | 94704-1014
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Country | US
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Telephone | 510-473-6855
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A133499
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License Number State | CA
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