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General NPI Number Information
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NPI Number | 1952857963
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Entity Type | Individual
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Provider Name | RACHEL MONTAGUE FNP-C, PMHNP-BC
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Gender | Female
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Dates
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Enumeration Date | 08/30/2016
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Last Update Date | 04/16/2025
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Provider Practice Location Address
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Address Line | 1390 S 1100 E STE 202
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-2463
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Country | US
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Telephone | 801-872-3717
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Fax |
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Provider Business Mailing Address
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Address Line | 1033 E KENSINGTON AVE
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City | SALT LAKE CITY
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State | UT
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Zip | 84105-2403
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Country | US
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Telephone | 801-808-0472
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | 7314432-4405
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License Number State | UT
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Taxonomy #2
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number | 7314432-4405
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License Number State | UT
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