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General NPI Number Information
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NPI Number | 1760004063
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Entity Type | Individual
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Provider Name | RACHEL VIZCAYA PA-C
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Gender | Female
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Dates
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Enumeration Date | 05/11/2020
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Last Update Date | 07/15/2025
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Provider Practice Location Address
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Address Line | 2400 BOILING SPRINGS RD
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City | BOILING SPRINGS
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State | SC
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Zip | 29316-5304
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Country | US
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Telephone | 864-599-0731
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Fax |
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Provider Business Mailing Address
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Address Line | 300 E MCBEE AVE FL 4
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City | GREENVILLE
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State | SC
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Zip | 29601-2842
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Country | US
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Telephone | 864-695-6697
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 3858
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License Number State | SC
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