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NPI Code Detail

MEDICARE: RACHEL HASELHORST

MEDICARE: RACHEL HASELHORST
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133V00000XRegistered Dietitian1018524IN

General Provider Information

NPI Number : 1033501135
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL HASELHORST
Provider Business Mailing Address
First Line : 2505 N ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-3318
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2505 N ARLINGTON AVE
Second Line :
City : INDIANAPOLIS
State : IN
Zip : 46218-3318
Country : US
Telephone Number : 131-755-4520
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/26/2015
Last Update Date : 02/26/2015

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Directions to “ RACHEL HASELHORST ” Practice Location

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