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Individual

RACHEL FOWLER

Active
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Individual

RACHEL FOWLER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MD12739
RI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
007060392
MEDICARE
RI
01
09/11/2008
NHPRI
RI
01
09/30/2008
BCBSRI
RI
01
12/29/2008
TUFTS HEALTH PLAN
MA
01
1851516819
NPI
RI
05
2159422
MA
01
939025129
RI MEDICARE GROUP NUMBER
RI
05
RF72170
RI
Enumeration date
04/16/2007
Last updated
02/04/2010
Update your record

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