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General NPI Number Information
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NPI Number | 1427174416
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Entity Type | Individual
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Provider Name | RACHEL S FENIMORE ARNP
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Gender | Female
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 753 N 35TH ST STE 204
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City | SEATTLE
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State | WA
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Zip | 98103-8889
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Country | US
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Telephone | 206-225-9820
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Fax | 206-257-0168
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Provider Business Mailing Address
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Address Line | 753 N 35TH ST, SUITE 204
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City | SEATTLE
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State | WA
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Zip | 98103
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Country | US
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Telephone | 206-225-9820
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Fax | 206-267-0168
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | AP30007554
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License Number State | WA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | AP30007554
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License Number State | WA
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