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General NPI Number Information
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NPI Number | 1124192570
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Entity Type | Individual
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Provider Name | YARON RABINOWITZ PH.D.
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Gender | Male
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Dates
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Enumeration Date | 11/20/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | HHD, 1ST SWTG (A), JFKSWCS ARDENNES STREET
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City | FT BRAGG
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State | NC
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Zip | 28307
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Country | US
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Telephone | 910-396-4265
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Fax |
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Provider Business Mailing Address
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Address Line | 2720 FRANCISCAN DR
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City | FAYETTEVILLE
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State | NC
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Zip | 28306-4632
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Country | US
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Telephone | 650-814-5355
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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 | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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