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General NPI Number Information
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NPI Number | 1730364563
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Entity Type | Individual
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Provider Name | RACHEL PULVER RN, FNP
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Gender | Female
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Dates
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Enumeration Date | 12/28/2007
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Last Update Date | 03/07/2016
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Provider Practice Location Address
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Address Line | 1800 BLANKENSHIP RD SUITE 448
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City | WEST LINN
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State | OR
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Zip | 97068-4172
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Country | US
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Telephone | 503-929-7722
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Fax | 503-451-6822
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Provider Business Mailing Address
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Address Line | 1800 BLANKENSHIP RD SUITE 448
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City | WEST LINN
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State | OR
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Zip | 97068-4172
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Country | US
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Telephone | 503-929-7722
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Fax | 503-451-6822
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 200341425RN
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License Number State | OR
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 201050014NP
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License Number State | OR
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Taxonomy #3
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | RN00176010
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License Number State | WA
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Taxonomy #4
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number | 201050014NP
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License Number State | OR
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