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General NPI Number Information
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NPI Number | 1679201131
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Entity Type | Individual
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Provider Name | RACHEL RHAZALI CRNP
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Gender | Female
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Dates
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Enumeration Date | 08/12/2022
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Last Update Date | 08/12/2022
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Provider Practice Location Address
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Address Line | 33 SOUTH 9TH STREET SUITE 701
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 215-955-2778
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Fax |
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Provider Business Mailing Address
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Address Line | 709 E MANOA RD
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City | HAVERTOWN
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State | PA
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Zip | 19083-5603
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Country | US
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Telephone |
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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 | SP025531
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | SP025531
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License Number State | PA
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