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NPI 1578918058

NPI 1578918058 : RACHEL STERN N.P. : EL CAJON, CA

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General NPI Number Information
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    NPI Number           |    1578918058
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL STERN N.P.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    05/03/2016
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    Last Update Date     |    04/24/2018
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Provider Practice Location Address
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    Address Line         |    1685 E MAIN ST SUITE 300
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    City                 |    EL CAJON
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    State                |    CA
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    Zip                  |    92021-5225
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    Country              |    US
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    Telephone            |    413-433-5520
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1685 E MAIN ST STE 301 
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    City                 |    EL CAJON
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    State                |    CA
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    Zip                  |    92021-5292
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    Country              |    US
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    Telephone            |    619-881-4540
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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       |    95002974
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    License Number State |    CA
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