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NPI 1891399929

NPI 1891399929 : RACHEL DUNCAN DAVIS CARPENTER NP : SANTA MONICA, CA

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General NPI Number Information
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    NPI Number           |    1891399929
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    Entity Type          |    Individual 
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    Provider Name        |    RACHEL DUNCAN DAVIS CARPENTER NP
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    11/30/2020
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    Last Update Date     |    06/16/2025
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Provider Practice Location Address
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    Address Line         |    2001 SANTA BLVD STE 280W 
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    City                 |    SANTA MONICA
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    State                |    CA
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    Zip                  |    90404-2172
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    Country              |    US
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    Telephone            |    310-829-7678
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    Fax                  |    310-829-6889
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Provider Business Mailing Address
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    Address Line         |    4140 W 190TH ST 
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    City                 |    TORRANCE
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    State                |    CA
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    Zip                  |    90504-5513
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    Country              |    US
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    Telephone            |    310-829-7678
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    Fax                  |    310-829-6889
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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        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    0024183407
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    License Number State |    VA
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Taxonomy #2
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    Taxonomy Code        |    363L00000X
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    Taxonomy Name        |    Nurse Practitioner
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    License Number       |    SP022075
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    License Number State |    PA
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Taxonomy #3
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    Taxonomy Code        |    363LA2200X
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    Taxonomy Name        |    Adult Health Nurse Practitioner
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    License Number       |    0024183407
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    License Number State |    VA
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Taxonomy #4
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    Taxonomy Code        |    363LP2300X
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    Taxonomy Name        |    Primary Care Nurse Practitioner
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    License Number       |    221805
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    License Number State |    LA
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Taxonomy #5
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    Taxonomy Code        |    363LG0600X
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    Taxonomy Name        |    Gerontology Nurse Practitioner
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    License Number       |    95029822
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    License Number State |    CA
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