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General NPI Number Information
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NPI Number | 1932383817
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Entity Type | Individual
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Provider Name | RACHEL DRISCOLL DDS
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Gender | Female
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Dates
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Enumeration Date | 12/27/2007
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Last Update Date | 04/02/2014
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Provider Practice Location Address
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Address Line | 1170 W KANSAS ST
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City | LIBERTY
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State | MO
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Zip | 64068-2036
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Country | US
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Telephone | 816-716-1000
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Fax |
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Provider Business Mailing Address
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Address Line | 6310 NW HOGAN DR APT 2
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City | KANSAS CITY
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State | MO
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Zip | 64152-3103
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Country | US
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Telephone |
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 2007028611
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 60528
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License Number State | KS
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