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General NPI Number Information
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NPI Number | 1457121022
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Entity Type | Individual
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Provider Name | RACHEL THOMAS APRN
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Gender | Female
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Dates
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Enumeration Date | 01/04/2024
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Last Update Date | 01/04/2024
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Provider Practice Location Address
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Address Line | 885 SEDALIA ST
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City | OCOEE
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State | FL
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Zip | 34761-3164
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Country | US
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Telephone | 407-294-2994
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Fax |
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Provider Business Mailing Address
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Address Line | 2339 SWEETAIRE CT
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City | APOPKA
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State | FL
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Zip | 32712-4000
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Country | US
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Telephone | 941-518-0287
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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 | 363LX0001X
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Taxonomy Name | Obstetrics & Gynecology Nurse Practitioner
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License Number | 11030344
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License Number State | FL
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