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General NPI Number Information
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NPI Number | 1700999562
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Entity Type | Individual
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Provider Name | RACHEL L RAGER CPHT
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Gender | Female
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Dates
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Enumeration Date | 08/16/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 8744 FERRY ST
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City | MONTAGUE
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State | MI
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Zip | 49437-1391
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Country | US
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Telephone | 231-893-8255
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Fax |
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Provider Business Mailing Address
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Address Line | 6065 MEEUWENBERG DR
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City | TWIN LAKE
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State | MI
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Zip | 49457-9151
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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 | 183700000X
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Taxonomy Name | Pharmacy Technician
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License Number | 290101040751738
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License Number State | MI
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