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General NPI Number Information
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NPI Number | 1275703837
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Entity Type | Individual
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Provider Name | MICHAEL RACHAF D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 176 N VILLAGE AVE SUITE 2F
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City | ROCKVILLE CENTRE
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State | NY
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Zip | 11570-3800
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Country | US
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Telephone | 516-594-3300
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Fax | 516-594-1288
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Provider Business Mailing Address
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Address Line | 1511 STEPHEN MARC LN
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City | EAST MEADOW
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State | NY
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Zip | 11554-2206
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Country | US
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Telephone | 516-414-8170
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 049581
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License Number State | NY
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