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General NPI Number Information
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NPI Number | 1740604362
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Entity Type | Individual
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Provider Name | RACHEL E COOMER D.O
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Gender | Female
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Dates
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Enumeration Date | 02/18/2014
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Last Update Date | 05/14/2019
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Provider Practice Location Address
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Address Line | 1301 PLEASANT VALLEY RD STE 300
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City | OWENSBORO
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State | KY
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Zip | 42303
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Country | US
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Telephone | 270-417-7700
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Fax | 270-417-7705
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Provider Business Mailing Address
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Address Line | PO BOX 23229
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City | OWENSBORO
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State | KY
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Zip | 42304-3229
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Country | US
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Telephone | 270-688-1330
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Fax | 270-688-1338
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 04245
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License Number State | KY
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