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General NPI Number Information
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NPI Number | 1417333006
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Entity Type | Individual
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Provider Name | RACHEL LINN DENBOW PA-C
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Gender | Female
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Dates
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Enumeration Date | 08/05/2015
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Last Update Date | 01/13/2023
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Provider Practice Location Address
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Address Line | 1740 CLEVELAND RD
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City | WOOSTER
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State | OH
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Zip | 44691-2204
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Country | US
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Telephone | 330-287-4500
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Fax |
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Provider Business Mailing Address
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Address Line | 274 ELM DR APT 3
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City | WOOSTER
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State | OH
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Zip | 44691-2212
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Country | US
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Telephone |
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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 | 1835P0018X
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Taxonomy Name | Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
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License Number | PA56393
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 001005693
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License Number State | NC
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Taxonomy #3
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 56393
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License Number State | CA
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Taxonomy #4
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 50.004928
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License Number State | OH
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