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General NPI Number Information
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NPI Number | 1922366533
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Entity Type | Individual
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Provider Name | RACHEL RUSSELL NP
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Gender | Female
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Dates
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Enumeration Date | 05/02/2012
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Last Update Date | 02/27/2024
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Provider Practice Location Address
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Address Line | 2151 CIMARRON TER
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City | PALM HARBOR
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State | FL
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Zip | 34683-4922
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Country | US
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Telephone | 727-460-5899
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Fax | 855-596-4306
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Provider Business Mailing Address
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Address Line | 2151 CIMARRON TER
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City | PALM HARBOR
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State | FL
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Zip | 34683-4922
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Country | US
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Telephone | 727-460-5899
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Fax | 855-596-4306
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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License Number | APRN9282754
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | APRN9282754
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License Number State | FL
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