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General NPI Number Information
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NPI Number | 1386733897
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Entity Type | Individual
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Provider Name | RACHELLE RICHARDSON ARNP
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Gender | Female
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Dates
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Enumeration Date | 10/12/2006
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Last Update Date | 01/10/2013
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Provider Practice Location Address
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Address Line | 3134 NORTHSIDE DR BLD B
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City | KEY WEST
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State | FL
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Zip | 33040-8004
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Country | US
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Telephone | 305-292-6885
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Fax | 305-293-1561
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Provider Business Mailing Address
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Address Line | PO BOX 6193
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City | KEY WEST
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State | FL
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Zip | 33041-6193
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Country | US
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Telephone | 305-809-5680
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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 | NP-09100
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP 9304753
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 308584
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License Number State | OH
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