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General NPI Number Information
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NPI Number | 1972005056
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Entity Type | Individual
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Provider Name | RACHEL BEAUDETTE CPO
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Gender | Female
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Dates
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Enumeration Date | 03/05/2018
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Last Update Date | 08/20/2019
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Provider Practice Location Address
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Address Line | 223 E 14TH ST STE 5
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City | HASTINGS
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State | NE
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Zip | 68901-3240
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Country | US
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Telephone | 402-461-4931
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Fax | 402-461-4932
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Provider Business Mailing Address
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Address Line | 223 E 14TH ST STE 5
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City | HASTINGS
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State | NE
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Zip | 68901-3240
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Country | US
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Telephone | 402-461-4931
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Fax | 402-461-4932
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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 | 222Z00000X
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Taxonomy Name | Orthotist
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 224P00000X
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Taxonomy Name | Prosthetist
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License Number |
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License Number State | NE
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