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General NPI Number Information
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NPI Number | 1811919962
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Entity Type | Individual
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Provider Name | RACHEL CAZARES GONZALES P.A.
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Gender | Female
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Dates
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Enumeration Date | 07/24/2006
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Last Update Date | 12/07/2016
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Provider Practice Location Address
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Address Line | 3840 WATT AVE BLDG E
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City | SACRAMENTO
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State | CA
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Zip | 95821-2640
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Country | US
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Telephone | 916-488-6200
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Fax |
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Provider Business Mailing Address
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Address Line | 12417 FAIR OAKS BLVD STE 600
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City | FAIR OAKS
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State | CA
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Zip | 95628-2500
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Country | US
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Telephone | 530-889-2013
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | PA14343
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License Number State | CA
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