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Individual

RACHEL A RUDEL

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LRD

Contact information

Practice address
1702 UNIVERSITY DR S, FARGO, ND 58103-4940
(701) 364-3300
(701) 364-8906
Mailing address
PO BOX 6001, FARGO, ND 58108-6001
(701) 364-3300
(701) 364-8906

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
Primary
347
ND

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
14513
NDBS #
MN
01
14513
NDBS #
ND
01
1783078
AMERICA'S PPO/ARAZ #
ND
01
17986
NDBS #
ND
05
59543
ND
01
6300039
MEDICA #
ND
01
6300040
MEDICA #
MN
01
6300079
MEDICA #
ND
01
DA90101015504
PREFERRED ONE #
ND
01
HP25706
HEALTHPARTNERS #
ND
01
ND400016
LHS #
ND
Enumeration date
07/08/2006
Last updated
07/09/2007
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