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General NPI Number Information
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NPI Number | 1659913242
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Entity Type | Individual
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Provider Name | RACHEL FRANCES GARRY FNP
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Gender | Female
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Dates
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Enumeration Date | 10/15/2019
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Last Update Date | 10/13/2022
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Provider Practice Location Address
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Address Line | 12249 SE OATFIELD RD
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City | MILWAUKIE
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State | OR
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Zip | 97222-6952
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Country | US
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Telephone | 845-820-0864
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Fax |
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Provider Business Mailing Address
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Address Line | 12249 SE OATFIELD RD
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City | MILWAUKIE
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State | OR
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Zip | 97222-6952
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Country | US
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Telephone | 845-820-0864
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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 | 163WE0003X
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Taxonomy Name | Emergency Registered Nurse
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License Number | 201605015RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 202205040NP-PP
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License Number State | OR
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