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General NPI Number Information
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NPI Number | 1013719731
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Entity Type | Organization
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Legal Business Name | RACHEL EDELMAN DMD PC
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Dates
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Enumeration Date | 03/25/2025
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Last Update Date | 03/25/2025
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Provider Practice Location Address
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Address Line | 112 E 83RD ST
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City | NEW YORK
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State | NY
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Zip | 10028-0880
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Country | US
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Telephone | 646-478-2740
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Fax | 646-478-2730
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Provider Business Mailing Address
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Address Line | 112 E 83RD ST
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City | NEW YORK
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State | NY
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Zip | 10028-0880
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Country | US
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Telephone | 646-478-2740
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Fax | 646-478-2730
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Authorized Official
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Title or Position | OWNER DENTIST
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Name | DR. RACHEL EDELMAN
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Credential | DMD
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Telephone | 646-478-2740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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