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General NPI Number Information
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NPI Number | 1770098535
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Entity Type | Individual
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Provider Name | RACHEL BETH RUDER PT, DPT
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Gender | Female
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Dates
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Enumeration Date | 12/02/2017
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Last Update Date | 12/02/2017
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Provider Practice Location Address
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Address Line | 3800 RESERVOIR RD NW BLDG PHYSICAL
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City | WASHINGTON
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State | DC
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Zip | 20007-2113
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Country | US
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Telephone | 855-546-2805
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Fax |
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Provider Business Mailing Address
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Address Line | 1221 24TH ST NW APT 902
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City | WASHINGTON
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State | DC
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Zip | 20037-1140
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Country | US
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Telephone | 609-605-3455
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | PT872139
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License Number State | DC
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