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Individual
RACHEL CHUN
Active
Individual
RACHEL CHUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C, RD
Taxonomy
Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
DI100000841
DC
133V00000X
Registered Dietitian
DX2623
MD
363A00000X
Physician Assistant
Primary
C0006192
MD
363A00000X
Physician Assistant
PA031262
DC
363AM0700X
Medical Physician Assistant
C0006192
MD
363AM0700X
Medical Physician Assistant
PA031262
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
115349800
—
MD
01
—
795686
MEDICARE
MD
01
—
795687
MEDICARE
MD
01
—
C0006192
STATE LICENSE
MD
Enumeration date
05/21/2007
Last updated
04/10/2024
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