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General NPI Number Information
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NPI Number | 1700087293
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Entity Type | Individual
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Provider Name | RACHELLE GOERING FNP
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Gender | Female
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Dates
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Enumeration Date | 05/30/2007
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 125B CAMINO ALTO
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City | MILL VALLEY
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State | CA
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Zip | 94941-4601
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Country | US
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Telephone | 415-383-9903
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Fax | 415-383-9901
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Provider Business Mailing Address
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Address Line | 3260 BEARD RD 3
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City | NAPA
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State | CA
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Zip | 94558-3466
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Country | US
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Telephone | 707-255-4172
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Fax | 888-315-3813
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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 | 525495
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License Number State | CA
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