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General NPI Number Information
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NPI Number | 1518223478
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Entity Type | Individual
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Provider Name | RACHEL MARIA ELLIS RPH
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Gender | Female
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Dates
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Enumeration Date | 04/04/2012
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 17801 INDUSTRIAL FARM RD
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City | BAKERSFIELD
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State | CA
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Zip | 93308-9599
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Country | US
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Telephone | 661-391-3176
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Fax | 661-365-0161
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Provider Business Mailing Address
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Address Line | 11701 DELL RAPIDS CT
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City | BAKERSFIELD
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State | CA
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Zip | 93312-5715
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Country | US
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Telephone |
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 48188
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License Number State | CA
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