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General NPI Number Information
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NPI Number | 1558756155
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Entity Type | Individual
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Provider Name | RACHEL C KOONTZ FNP
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Gender | Female
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Dates
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Enumeration Date | 03/31/2015
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Last Update Date | 05/15/2025
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Provider Practice Location Address
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Address Line | 300 MOORESVILLE RD
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City | KANNAPOLIS
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State | NC
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Zip | 28081-0304
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Country | US
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Telephone | 704-920-1000
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Fax | 704-934-4270
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Provider Business Mailing Address
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Address Line | 300 MOORESVILLE RD
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City | KANNAPOLIS
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State | NC
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Zip | 28081-0304
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Country | US
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Telephone | 704-920-1000
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Fax | 704-934-4270
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 5007553
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License Number State | NC
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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 | 5007553
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License Number State | NC
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