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General NPI Number Information
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NPI Number | 1609257708
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Entity Type | Individual
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Provider Name | RACHEL WILSON APRN
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Gender | Female
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Dates
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Enumeration Date | 06/15/2015
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Last Update Date | 07/24/2024
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Provider Practice Location Address
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Address Line | 1211 STANTON ST
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City | EMPORIA
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State | KS
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Zip | 66801-6158
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Country | US
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Telephone | 620-208-9888
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Fax | 620-412-8058
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Provider Business Mailing Address
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Address Line | 1885 SPRING CREEK RD
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City | COTTONWOOD FALLS
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State | KS
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Zip | 66845-9908
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Country | US
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Telephone | 620-255-4979
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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 | 53-76789-082
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License Number State | KS
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