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General NPI Number Information
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NPI Number | 1902922875
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Entity Type | Individual
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Provider Name | RACHEL CATHLEEN FULLINGTON D.O
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Gender | Female
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 09/04/2019
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Provider Practice Location Address
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Address Line | 7383 E TANQUE VERDE RD
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City | TUCSON
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State | AZ
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Zip | 85715-3475
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Country | US
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Telephone | 520-318-3434
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Fax | 520-318-3435
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Provider Business Mailing Address
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Address Line | PO BOX 43130
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City | TUCSON
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State | AZ
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Zip | 85733-3130
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Country | US
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Telephone | 520-722-3777
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Fax | 520-296-6224
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 94-06468
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License Number State | KS
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 005098
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License Number State | AZ
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