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Individual
RACHEL CLICK PRUITT
Active
Individual
RACHEL CLICK PRUITT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
36609
SC
207Q00000X
Family Medicine Physician
TL36609
SC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
366099
—
SC
Enumeration date
10/10/2011
Last updated
10/16/2017
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