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General NPI Number Information
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NPI Number | 1639636996
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Entity Type | Individual
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Provider Name | RACHEL CURTIS
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Gender | Female
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Dates
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Enumeration Date | 02/22/2019
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Last Update Date | 12/19/2023
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Provider Practice Location Address
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Address Line | 387 N STATE RD
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City | OTISVILLE
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State | MI
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Zip | 48463-9503
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Country | US
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Telephone | 810-631-4060
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Fax |
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Provider Business Mailing Address
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Address Line | 2875 E DUTCHER RD
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City | CARO
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State | MI
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Zip | 48723-9351
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Country | US
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Telephone | 989-286-6370
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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 | 4704289316
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License Number State | MI
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