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General NPI Number Information
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NPI Number | 1386989218
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Entity Type | Individual
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Provider Name | RACHEL NICOLE FORTNEY APRN
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Gender | Female
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Dates
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Enumeration Date | 12/04/2012
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Last Update Date | 06/22/2023
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Provider Practice Location Address
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Address Line | 3501 S 84TH ST
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City | OMAHA
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State | NE
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Zip | 68124-4056
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Country | US
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Telephone | 531-895-9802
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Fax |
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Provider Business Mailing Address
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Address Line | 102 WOODMONT BLVD STE 600
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City | NASHVILLE
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State | TN
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Zip | 37205-5250
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Country | US
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Telephone | 615-315-5257
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Fax | 615-692-0547
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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 | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | J148985
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | 111440
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License Number State | NE
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