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NPI Code Detail

MEDICARE: RACHAEL ROSE PAUVLINCH PA-C

MEDICARE:   RACHAEL ROSE PAUVLINCH  PA-C
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
1363AM0700XMedical Physician AssistantMA059565PA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1184137630
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL ROSE PAUVLINCH PA-C
Provider Business Mailing Address
First Line : 8150 PERRY HWY STE 201
Second Line :
City : PITTSBURGH
State : PA
Zip : 15237-5200
Country : US
Telephone Number : 412-369-9550
Fax Number : 412-369-9566
Provider Business Practice Location Address
First Line : 213 EXECUTIVE DR STE 200
Second Line :
City : CRANBERRY TWP
State : PA
Zip : 16066-6405
Country : US
Telephone Number : 724-741-0044
Fax Number : 724-741-0040
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/07/2017
Last Update Date : 02/14/2023

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Directions to “ RACHAEL ROSE PAUVLINCH PA-C” Practice Location

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