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Individual
RACHEL MARIE FANOUS
Active
Individual
RACHEL MARIE FANOUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CNM
Taxonomy
Speciality
Code
Description
License number
State
367A00000X
Advanced Practice Midwife
718375
TX
367A00000X
Advanced Practice Midwife
Primary
AP120600
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
287016403
—
TX
01
—
8105NS
BCBS
TX
Enumeration date
05/18/2011
Last updated
03/17/2018
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