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General NPI Number Information
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NPI Number | 1710203500
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Entity Type | Individual
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Provider Name | RACHEL JOSEPHINE PACCIONE M.D
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Gender | Female
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 03/28/2025
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Provider Practice Location Address
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Address Line | 6095 PROFESSIONAL PKWY STE A210
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-5611
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Country | US
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Telephone | 770-949-4188
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Fax |
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Provider Business Mailing Address
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Address Line | 3630 SAVANNAH PL BUILDING 100 SUITE B
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City | DULUTH
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State | GA
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Zip | 30096-5028
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Country | US
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Telephone | 678-474-0203
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Fax | 678-474-0207
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 071608
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License Number State | GA
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