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General NPI Number Information
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NPI Number | 1578083580
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Entity Type | Individual
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Provider Name | RACHEL ANTONIA DOUGLAS
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Gender | Female
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Dates
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Enumeration Date | 06/21/2017
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Last Update Date | 12/08/2021
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Provider Practice Location Address
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Address Line | 2330 POST ST STE 270
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City | SAN FRANCISCO
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State | CA
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Zip | 94115-3466
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Country | US
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Telephone | 415-353-2015
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Fax |
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Provider Business Mailing Address
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Address Line | 4146 SEQUOIA DR
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City | OAKLEY
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State | CA
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Zip | 94561-2641
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Country | US
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Telephone | 925-628-3281
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 3351
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License Number State | CA
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