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General NPI Number Information
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NPI Number | 1518671411
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Entity Type | Individual
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Provider Name | RACHEL LOTHIAN
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Gender | Female
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Dates
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Enumeration Date | 01/06/2023
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 3 CREST RD
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City | SAINT ALBANS
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State | VT
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Zip | 05478-9753
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Country | US
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Telephone | 802-524-4554
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Fax |
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Provider Business Mailing Address
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Address Line | 3 CREST RD
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City | SAINT ALBANS
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State | VT
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Zip | 05478-9753
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Country | US
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Telephone | 802-524-4554
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0137409
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 101.0137409
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License Number State | VT
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 9517245
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License Number State | FL
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