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General NPI Number Information
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NPI Number | 1912132101
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Entity Type | Individual
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Provider Name | RACHEL BETH STATE ADELMAN M.D., M.P.H.
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Gender | Female
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Dates
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Enumeration Date | 05/18/2009
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Last Update Date | 04/18/2024
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Provider Practice Location Address
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Address Line | 11215 METRO PKWY STE 1
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City | FORT MYERS
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State | FL
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Zip | 33966-1206
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Country | US
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Telephone | 239-208-2212
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Fax |
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Provider Business Mailing Address
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Address Line | 11215 METRO PKWY STE 1
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City | FORT MYERS
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State | FL
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Zip | 33966-1206
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Country | US
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Telephone | 239-208-2212
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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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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License Number | 7771771-1205
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number | ME151079
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | 2022010195
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License Number State | MO
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