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Individual
JENNIFER RAHL
Active
Individual
JENNIFER RAHL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
811583
NY
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
7282
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01420800
—
NM
Enumeration date
07/15/2021
Last updated
06/11/2024
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