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1740261767 NPI number — RACHEL SHORT MD

NPI Number: 1740261767
Health Care Provider/Practitioner: RACHEL SHORT MD

Information about “1740261767” NPI (RACHEL SHORT MD) exists in 1740261767 in HTML format HTML  |  1740261767 in plain Text format TXT  |  1740261767 in PDF (Portable Document Format) PDF  |  1740261767 in an XML format XML  formats.

NPI Number : 1740261767 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1740261767",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "SHORT",
    "FirstName": "RACHEL",
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": "MD",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "275 RACHEL ST",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "OLIVE HILL",
    "MailingAddressStateName": "KY",
    "MailingAddressPostalCode": "41164-8463",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "859-494-0542",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "153 W TOM T HALL BLVD",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "OLIVE HILL",
    "PracticeLocationAddressStateName": "KY",
    "PracticeLocationAddressPostalCode": "41164-5801",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "606-898-3982",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "11/08/2005",
    "LastUpdateDate": "10/09/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "207Q00000X",
        "TaxonomyName": "Family Medicine Physician",
        "LicenseNumber": "38956",
        "LicenseNumberStateCode": "KY",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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