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NPI 1124328125

NPI 1124328125 : ERICA RACHEL PODOLSKY M.D. : DELRAY BEACH, FL

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General NPI Number Information
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    NPI Number           |    1124328125
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    Entity Type          |    Individual 
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    Provider Name        |    ERICA RACHEL PODOLSKY M.D.
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    10/25/2010
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    Last Update Date     |    06/25/2025
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Provider Practice Location Address
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    Address Line         |    16215 S JOG RD STE 204 
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    City                 |    DELRAY BEACH
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    State                |    FL
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    Zip                  |    33446-2386
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    Country              |    US
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    Telephone            |    561-448-3848
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    Fax                  |    561-501-3808
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Provider Business Mailing Address
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    Address Line         |    PO BOX 20800 
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    City                 |    BELFAST
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    State                |    ME
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    Zip                  |    04915-4105
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    Country              |    US
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    Telephone            |    888-402-7256
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    Fax                  |    888-902-1099
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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        |    208600000X
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    Taxonomy Name        |    Surgery Physician
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    License Number       |    ME121024
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    License Number State |    FL
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