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General NPI Number Information
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NPI Number | 1801364583
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Entity Type | Individual
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Provider Name | RACHEL CALLIE TETI PA-C
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Gender | Female
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Dates
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Enumeration Date | 11/11/2018
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Last Update Date | 11/19/2018
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Provider Practice Location Address
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Address Line | 2160 NOLL DR STE 200
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City | LANCASTER
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State | PA
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Zip | 17603-7608
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Country | US
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Telephone | 717-481-8720
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Fax | 717-481-8726
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Provider Business Mailing Address
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Address Line | 409 S 2ND ST STE 2F
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City | HARRISBURG
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State | PA
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Zip | 17104-1612
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | MA060324
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License Number State | PA
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