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General NPI Number Information
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NPI Number | 1215044060
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Entity Type | Individual
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Provider Name | ELSA MARIA RASKIN MD
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Gender | Female
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Dates
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Enumeration Date | 08/25/2006
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Last Update Date | 08/12/2020
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Provider Practice Location Address
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Address Line | 21/2 DEARFIELD DRIVE SUITE 102
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City | GREENWICH
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State | CT
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Zip | 06831-0683
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Country | US
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Telephone | 917-617-4513
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Fax | 212-779-3699
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Provider Business Mailing Address
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Address Line | 317 E 34TH ST
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City | NEW YORK
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State | NY
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Zip | 10016-4974
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Country | US
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Telephone | 212-889-8600
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Fax | 212-779-3699
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 041001
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License Number State | CT
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