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General NPI Number Information
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NPI Number | 1821452244
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Entity Type | Individual
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Provider Name | RACHEAL BURROUGHS
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Gender | Female
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Dates
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Enumeration Date | 04/12/2016
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Last Update Date | 02/04/2020
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Provider Practice Location Address
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Address Line | 10500 MONTGOMERY RD
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City | CINCINNATI
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State | OH
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Zip | 45242-4402
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Country | US
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Telephone | 513-865-1582
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Fax | 513-865-1405
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Provider Business Mailing Address
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Address Line | 8825 TULIPWOOD CT
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City | CINCINNATI
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State | OH
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Zip | 45242-7925
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Country | US
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Telephone | 513-313-0126
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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 | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | CNP.18900
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 363LA2100X
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Taxonomy Name | Acute Care Nurse Practitioner
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License Number | 297274
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License Number State | OH
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