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General NPI Number Information
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NPI Number | 1205259082
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Entity Type | Organization
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Legal Business Name | NORBERT W. RAINFORD MD, PLLC
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Dates
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Enumeration Date | 01/29/2014
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Last Update Date | 07/22/2014
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Provider Practice Location Address
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Address Line | 200 E ECKERSON RD SUITE 200
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City | NEW CITY
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State | NY
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Zip | 10956-7153
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Country | US
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Telephone | 845-639-8240
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Fax | 845-639-8259
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Provider Business Mailing Address
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Address Line | 200 E ECKERSON RD SUITE 200
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City | NEW CITY
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State | NY
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Zip | 10956-7153
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Country | US
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Telephone | 845-639-8240
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Fax | 845-639-8259
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Authorized Official
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Title or Position | OWNER
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Name | NORBERT WASHINGTON RAINFORD
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Credential | MD
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Telephone | 845-639-8240
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | 122512
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License Number State | NY
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