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General NPI Number Information
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NPI Number | 1477695575
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Entity Type | Individual
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Provider Name | STEVEN MICHAEL RACHBACH M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/13/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 124 E LOWELL ST
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City | TUCSON
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State | AZ
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Zip | 85721-0095
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Country | US
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Telephone | 520-621-6496
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Fax | 520-626-2760
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Provider Business Mailing Address
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Address Line | 5035 N VIA DE LA GRANJA
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City | TUCSON
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State | AZ
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Zip | 85718-7446
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Country | US
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Telephone | 520-529-0982
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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 | 207QA0505X
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Taxonomy Name | Adult Medicine Physician
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License Number | 14806
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License Number State | AZ
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