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General NPI Number Information
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NPI Number | 1003620733
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Entity Type | Individual
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Provider Name | RACHAEL RENEE GREY CNIM
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Gender | Female
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Dates
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Enumeration Date | 02/04/2025
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Last Update Date | 02/04/2025
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Provider Practice Location Address
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Address Line | 43 NEW SCOTLAND AVE
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City | ALBANY
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State | NY
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Zip | 12208-3478
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Country | US
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Telephone | 518-262-3125
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Fax |
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Provider Business Mailing Address
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Address Line | 41 MOUNT RIGA AVE
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City | LATHAM
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State | NY
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Zip | 12110-4410
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Country | US
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Telephone | 518-222-3723
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZE0600X
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Taxonomy Name | Electroneurodiagnostic Specialist/Technologist
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License Number |
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License Number State |
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