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General NPI Number Information
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NPI Number | 1508587171
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Entity Type | Individual
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Provider Name | RACHEL STILLMAN PA
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 610 N LINCOLN AVE
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City | URBANA
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State | IL
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Zip | 61801-2432
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Country | US
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Telephone | 217-383-3507
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Fax | 217-383-3171
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Provider Business Mailing Address
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Address Line | 611 W PARK ST
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City | URBANA
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State | IL
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Zip | 61801-2501
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Country | US
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Telephone | 217-383-3313
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Fax | 217-383-3061
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 085.010118
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License Number State | IL
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