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General NPI Number Information
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NPI Number | 1437749280
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Entity Type | Organization
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Legal Business Name | EUCALYPTUS HEALTH, PLLC
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Dates
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Enumeration Date | 01/25/2021
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Last Update Date | 01/25/2021
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Provider Practice Location Address
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Address Line | 8010 NICEWOOD RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-2222
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Country | US
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Telephone | 208-779-7019
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Fax | 833-989-0917
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Provider Business Mailing Address
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Address Line | 8010 NICEWOOD RD
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City | GLEN ALLEN
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State | VA
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Zip | 23060-2222
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Country | US
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Telephone | 208-779-7019
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Fax |
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Authorized Official
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Title or Position | OWNER AND NURSE PRACTITIONER
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Name | RACHEL DAOU FEATHERSTONE
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Credential | WHNP-BC, MSN
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Telephone | 208-779-7019
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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