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General NPI Number Information
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NPI Number | 1679938096
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Entity Type | Individual
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Provider Name | RACHEL PLEASANTS
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Gender | Female
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Dates
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Enumeration Date | 12/30/2015
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Last Update Date | 12/30/2015
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Provider Practice Location Address
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Address Line | 1422 HAMPSTEAD AVE
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City | FAIRBANKS
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State | AK
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Zip | 99701-2729
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Country | US
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Telephone | 907-699-4334
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Fax |
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Provider Business Mailing Address
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Address Line | 930 GOLD PAN RD
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City | FAIRBANKS
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State | AK
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Zip | 99701
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Country | US
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Telephone | 907-699-4335
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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 | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 1023724
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License Number State | AK
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