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General NPI Number Information
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NPI Number | 1487803854
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Entity Type | Individual
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Provider Name | RACHELLE R THOMAS PHARMD
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Gender | Female
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Dates
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Enumeration Date | 09/10/2008
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Last Update Date | 03/20/2009
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Provider Practice Location Address
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Address Line | 1 BREAKTHROUGH WAY
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City | LAS VEGAS
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State | NV
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Zip | 89135-3011
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Country | US
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Telephone | 702-822-5373
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Fax | 702-944-0451
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Provider Business Mailing Address
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Address Line | 1 BREAKTHROUGH WAY
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City | LAS VEGAS
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State | NV
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Zip | 89135-3011
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Country | US
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Telephone | 702-822-5433
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Fax | 702-944-0451
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 17241
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License Number State | NV
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Taxonomy #2
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Taxonomy Code | 1835X0200X
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Taxonomy Name | Oncology Pharmacist
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License Number | 17241
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License Number State | NV
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