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General NPI Number Information
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NPI Number | 1437439262
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Entity Type | Individual
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Provider Name | RACHEL ELAINE DERN M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/24/2011
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 2000 SUTTER PL
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City | DAVIS
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State | CA
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Zip | 95616-6201
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Country | US
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Telephone | 916-262-9414
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Fax | 916-262-9420
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Provider Business Mailing Address
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Address Line | PO BOX 255228
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City | SACRAMENTO
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State | CA
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Zip | 95865-5228
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 13918170-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 50157
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License Number State | NV
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MT199509
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 50157
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License Number State | AZ
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Taxonomy #5
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | C194597
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License Number State | CA
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