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General NPI Number Information
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NPI Number | 1477367464
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Entity Type | Individual
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Provider Name | RACHEL NAUMANN MS, CNS, CDN
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Gender | Female
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 2810 N CHURCH ST PMB 55508
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City | WILMINGTON
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State | DE
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Zip | 19802-4447
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Country | US
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Telephone | 773-906-4773
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Fax |
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Provider Business Mailing Address
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Address Line | 60 GRASSY HILL RD
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City | ROXBURY
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State | CT
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Zip | 06783-1812
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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 | 133N00000X
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Taxonomy Name | Nutritionist
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License Number | 002788
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License Number State | CT
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