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General NPI Number Information
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NPI Number | 1508403858
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Entity Type | Organization
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Legal Business Name | NEW U WOMEN'S CLINIC & AESTHETICS PLLC
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Dates
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Enumeration Date | 12/05/2019
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Last Update Date | 08/05/2025
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Provider Practice Location Address
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Address Line | 10973 W 10TH AVE
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City | KENNEWICK
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State | WA
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Zip | 99336
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Country | US
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Telephone | 509-491-1944
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Fax | 509-735-8474
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Provider Business Mailing Address
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Address Line | 10973 W 10TH AVE
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City | KENNEWICK
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State | WA
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Zip | 99336
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Country | US
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Telephone | 509-491-1944
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Fax | 509-735-8474
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Authorized Official
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Title or Position | OWNER
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Name | RACHEL MAE GORHAM
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Credential | ARNP
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Telephone | 509-540-4308
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207SG0203X
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Taxonomy Name | Clinical Molecular Genetics Physician
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License Number |
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License Number State |
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