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General NPI Number Information
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NPI Number | 1215076484
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Entity Type | Individual
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Provider Name | EDWIN BRUCE RABIN D.C.
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Gender | Male
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Dates
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Enumeration Date | 02/05/2007
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Last Update Date | 05/23/2025
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Provider Practice Location Address
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Address Line | 1080 W BOISE AVE
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City | BOISE
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State | ID
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Zip | 83706-3502
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Country | US
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Telephone | 208-388-1895
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Fax | 208-388-1996
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Provider Business Mailing Address
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Address Line | 370 OCEAN PKWY APT 11G
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City | BROOKLYN
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State | NY
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Zip | 11218-4623
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Country | US
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Telephone | 208-890-6010
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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 | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | CH007217
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | X012371
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | TX10818
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License Number State | TX
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Taxonomy #4
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 038.011271
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License Number State | IL
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