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General NPI Number Information
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NPI Number | 1831742659
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Entity Type | Individual
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Provider Name | RACHEL MARIE RAINEY MSN, APRN, FNP
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Gender | Female
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Dates
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Enumeration Date | 07/21/2019
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Last Update Date | 11/25/2019
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Provider Practice Location Address
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Address Line | 1598 W MEYER RD
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City | WENTZVILLE
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State | MO
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Zip | 63385-3653
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Country | US
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Telephone | 636-332-8228
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Fax |
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Provider Business Mailing Address
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Address Line | 3221 MCKELVEY RD STE 301
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City | BRIDGETON
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State | MO
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Zip | 63044-2551
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Country | US
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Telephone | 636-498-5973
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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 | F07191407
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License Number State | MO
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