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General NPI Number Information
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NPI Number | 1417471822
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Entity Type | Individual
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Provider Name | RACHEL MARIE COVERT RN, BSN
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Gender | Female
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Dates
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Enumeration Date | 07/27/2017
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Last Update Date | 06/26/2021
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Provider Practice Location Address
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Address Line | 5854 STATE ROUTE 96 APT 208A
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City | ROMULUS
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State | NY
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Zip | 14541-9579
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Country | US
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Telephone | 315-525-0302
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Fax |
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Provider Business Mailing Address
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Address Line | 5854 STATE ROUTE 96 APT 208A
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City | ROMULUS
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State | NY
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Zip | 14541-9579
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Country | US
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Telephone | 315-525-0302
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 660980
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License Number State | NY
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