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NPI Code Detail

MEDICARE: RACHEL MIRON FIELDS

MEDICARE: RACHEL MIRON FIELDS
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
1225X00000XOccupational TherapistOT.0004769CO

General Provider Information

NPI Number : 1134677636
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL MIRON FIELDS
Provider Business Mailing Address
First Line : 644 CONCERTO DR
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80906-5972
Country : US
Telephone Number : 678-986-6257
Fax Number :
Provider Business Practice Location Address
First Line : 7665 ASSISI HTS
Second Line : MT ST FRANCIS NURSING CENTER
City : COLORADO SPRINGS
State : CO
Zip : 80919-3837
Country : US
Telephone Number : 678-986-6257
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/14/2016
Last Update Date : 09/14/2016

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Directions to “ RACHEL MIRON FIELDS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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