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General NPI Number Information
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NPI Number | 1962178681
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Entity Type | Individual
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Provider Name | RACHEL NEBEKER DNP
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Gender | Female
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Dates
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Enumeration Date | 08/22/2021
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Last Update Date | 06/23/2025
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Provider Practice Location Address
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Address Line | 5475 S 500 E
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City | OGDEN
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State | UT
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Zip | 84405-6905
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Country | US
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Telephone | 800-880-3566
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Fax |
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Provider Business Mailing Address
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Address Line | 659 HALIFAX CT
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City | FARMINGTON
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State | UT
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Zip | 84025-4204
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Country | US
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Telephone | 612-859-4145
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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 | 163WC0200X
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Taxonomy Name | Critical Care Medicine Registered Nurse
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License Number | 250728
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 9655869-8901
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 367500000X
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Taxonomy Name | Certified Registered Nurse Anesthetist
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License Number | 9655869-8901
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License Number State | UT
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