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General NPI Number Information
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NPI Number | 1831664770
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Entity Type | Individual
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Provider Name | RACHAEL NEUDECKER FNP
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Gender | Female
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Dates
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Enumeration Date | 10/08/2018
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Last Update Date | 04/10/2025
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Provider Practice Location Address
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Address Line | 4900 PORT ROYAL RD
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City | SPRING HILL
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State | TN
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Zip | 37174-2804
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Country | US
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Telephone | 315-602-1649
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Fax | 931-560-2165
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Provider Business Mailing Address
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Address Line | PO BOX 932958
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City | CLEVELAND
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State | OH
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Zip | 44193-0028
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 185448
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 25084
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License Number State | TN
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