# RACHEL ANNA LONG

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- **Entity:** Individual
- **Status:** Active
- **Sole proprietor:** No

## Provider details

- **NPI number:** 1568741379
- **Gender:** F
- **Credential:** DD

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208000000X | Pediatrics Physician | 5101019186 | MI | — |
| 2080P0204X | Pediatric Emergency Medicine (Pediatrics) Physician | Q7228 | TX | Yes |

## Other

- **Enumeration date:** 08/10/2011
- **Last updated:** 11/03/2022
