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Individual

RACHEL MARIE TAYLOR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
ROUTE 4 & 20 S. INTERSECTION, ROCKCAVE, WV 26234
(304) 924-6262
(304) 924-6699
Mailing address
PO BOX 217, ROCK CAVE, WV 26234-0217
(304) 924-6262
(304) 924-5460

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
471
WV

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1086565
NCCPA
WV
05
3810015471
WV
01
471
WV PA LICENSE
WV
Enumeration date
07/23/2009
Last updated
11/05/2010
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