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General NPI Number Information
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NPI Number | 1811833080
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Entity Type | Individual
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Provider Name | RACHEL DAWN PIZANO RC
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Gender | Female
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Dates
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Enumeration Date | 04/28/2026
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Last Update Date | 04/28/2026
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Provider Practice Location Address
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Address Line | 260 FALLS AVE STE C
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City | TWIN FALLS
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State | ID
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Zip | 83301-3370
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Country | US
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Telephone | 208-329-8762
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Fax |
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Provider Business Mailing Address
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Address Line | 215 11TH AVE N
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City | BUHL
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State | ID
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Zip | 83316-1603
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Country | US
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Telephone | 208-751-1373
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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 | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number | 13112
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License Number State | ID
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