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General NPI Number Information
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NPI Number | 1548788813
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Entity Type | Individual
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Provider Name | RACHEL KUMMER CRNP
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Gender | Female
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Dates
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Enumeration Date | 09/06/2017
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Last Update Date | 02/19/2019
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Provider Practice Location Address
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Address Line | 101 SIVLEY RD SW
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City | HUNTSVILLE
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State | AL
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Zip | 35801-4421
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Country | US
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Telephone | 256-265-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 3007 MEMORIAL PKWY SW STE B
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City | HUNTSVILLE
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State | AL
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Zip | 35801-5394
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | 1-140032
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License Number State | AL
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