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General NPI Number Information
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NPI Number | 1538913017
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Entity Type | Individual
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Provider Name | RACHAEL ANN TABOR MSN, PMHNP
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Gender | Female
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Dates
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Enumeration Date | 04/12/2024
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 40 S RIVER RD UNIT 55
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City | BEDFORD
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State | NH
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Zip | 03110-6751
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Country | US
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Telephone | 603-716-1924
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Fax |
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Provider Business Mailing Address
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Address Line | 40 S RIVER RD UNIT 55
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City | BEDFORD
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State | NH
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Zip | 03110-6751
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Country | US
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Telephone | 603-716-1924
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Fax | 603-697-7466
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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 | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 213151
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License Number State | GA
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 113088-23
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License Number State | NH
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