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General NPI Number Information
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NPI Number | 1396569786
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Entity Type | Individual
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Provider Name | RACHAEL NULL ND, LAC
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Gender | Female
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Dates
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Enumeration Date | 11/12/2024
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 223 E POWELL BLVD
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City | GRESHAM
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State | OR
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Zip | 97030-7605
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Country | US
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Telephone | 503-667-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 11182 SE ADAMSON CT
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City | MILWAUKIE
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State | OR
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Zip | 97222-1293
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Country | US
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Telephone | 970-690-9839
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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 | 175F00000X
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Taxonomy Name | Naturopath
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License Number | 5059
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License Number State | OR
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