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General NPI Number Information
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NPI Number | 1619032646
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Entity Type | Individual
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Provider Name | RACHEL E REITAN M.D.
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Gender | Female
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Dates
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Enumeration Date | 12/27/2006
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Last Update Date | 03/06/2014
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Provider Practice Location Address
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Address Line | 1542 TULANE AVE RM 522 DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
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City | NEW ORLEANS
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State | LA
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Zip | 70112-2865
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Country | US
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Telephone | 504-568-8663
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Fax | 504-568-5140
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Provider Business Mailing Address
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Address Line | 1542 TULANE AVENUE ROOM 522 DEPARTMENT OF OBSTETRICS AND GYNECOLOGY
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City | NEW ORLEANS
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State | LA
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Zip | 70112
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Country | US
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Telephone | 504-568-8663
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Fax | 504-586-5140
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | MD.024035
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A77433
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License Number State | CA
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