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General NPI Number Information
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NPI Number | 1396304515
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Entity Type | Individual
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Provider Name | RACHAEL PRINE MEADERS CRNA
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Gender | Female
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Dates
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Enumeration Date | 06/11/2019
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 3551 ROGER BROOKE DR
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City | SAN ANTONIO
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State | TX
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Zip | 78234-4504
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Country | US
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Telephone | 210-916-7500
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Fax |
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Provider Business Mailing Address
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Address Line | 22806 RIO SALADO
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City | SAN ANTONIO
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State | TX
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Zip | 78261-4445
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Country | US
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Telephone | 251-689-2102
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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 | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 95001186
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 1086456
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License Number State | TX
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