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General NPI Number Information
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NPI Number | 1497260640
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Entity Type | Individual
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Provider Name | RACHEL LYNN VIGLIOTTI PA-C
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Gender | Female
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Dates
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Enumeration Date | 12/11/2017
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Last Update Date | 12/11/2017
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Provider Practice Location Address
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Address Line | 3350 LOWER HONOAPIILANI RD
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City | LAHAINA
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State | HI
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Zip | 96761-8402
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Country | US
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Telephone | 808-667-7676
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 790134
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City | PAIA
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State | HI
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Zip | 96779-0134
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Country | US
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Telephone | 410-596-0102
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 803
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License Number State | HI
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