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General NPI Number Information
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NPI Number | 1073719290
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Entity Type | Individual
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Provider Name | DAVID ASHER RAKOFF M.D.
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Gender | Male
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Dates
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Enumeration Date | 06/25/2007
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Last Update Date | 10/28/2012
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Provider Practice Location Address
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Address Line | 1328 22ND ST
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City | SANTA MONICA
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State | CA
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Zip | 90404-2032
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Country | US
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Telephone | 310-423-2056
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Fax | 310-423-8232
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Provider Business Mailing Address
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Address Line | 24 WESTWIND ST #C
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City | MARINA DEL REY
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State | CA
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Zip | 90292-7135
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Country | US
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Telephone | 310-940-4456
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Fax | 310-306-6103
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | A89264
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License Number State | CA
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