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General NPI Number Information
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NPI Number | 1275601239
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Entity Type | Organization
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Legal Business Name | I. RACHMAN, MD, M. BARATS, MD, Y. SKARLAT, PA
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Dates
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Enumeration Date | 11/30/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 5901 W OLYMPIC BLVD STE 107
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City | LOS ANGELES
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State | CA
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Zip | 90036-4667
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Country | US
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Telephone | 323-938-0071
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Fax | 323-938-2369
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Provider Business Mailing Address
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Address Line | 5901 W OLYMPIC BLVD STE 107
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City | LOS ANGELES
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State | CA
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Zip | 90036-4667
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Country | US
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Telephone | 323-938-0071
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Fax | 323-938-2369
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. ILYA RACHMAN
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Credential | M.D.
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Telephone | 323-938-0071
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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