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General NPI Number Information
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NPI Number | 1770079881
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Entity Type | Individual
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Provider Name | RACHEL ORISTANO ND, DSOM, LAC
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Gender | Female
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Dates
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Enumeration Date | 07/02/2018
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Last Update Date | 03/28/2022
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Provider Practice Location Address
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Address Line | 3421 CONRAD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19129-1636
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Country | US
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Telephone | 215-995-0059
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Fax |
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Provider Business Mailing Address
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Address Line | 410 N 33RD ST
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City | PHILADELPHIA
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State | PA
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Zip | 19104-2535
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Country | US
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Telephone |
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 171100000X
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Taxonomy Name | Acupuncturist
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License Number | AK001246
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License Number State | PA
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