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General NPI Number Information
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NPI Number | 1790603520
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Entity Type | Individual
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Provider Name | RACHEL RUTH BROCKER LANGFORD BSN, RN
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Gender | Female
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 770 E 11TH AVE
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City | EUGENE
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State | OR
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Zip | 97401-3746
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Country | US
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Telephone | 458-205-7013
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Fax |
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Provider Business Mailing Address
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Address Line | 1236 MELVINA WAY
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City | EUGENE
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State | OR
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Zip | 97404-2843
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Country | US
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Telephone | 563-940-0023
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number | 10033071
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License Number State | OR
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