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General NPI Number Information
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NPI Number | 1285875393
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Entity Type | Individual
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Provider Name | ALLAN JAY RABINOWITZ P.D. M.A. C.C.C./SLP
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Gender | Male
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Dates
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Enumeration Date | 03/19/2009
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Last Update Date | 03/19/2009
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Provider Practice Location Address
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Address Line | 2 OVERHILL ROAD SUITE 280
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City | SCARSDALE
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State | NY
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Zip | 10583
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Country | US
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Telephone | 914-722-2467
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Fax | 212-679-7807
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Provider Business Mailing Address
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Address Line | 63 CRESCENT DRIVE
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City | OLD BETHPAGE
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State | NY
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Zip | 11804
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Country | US
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Telephone | 516-755-4041
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Fax | 631-390-8628
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | 02772
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License Number State | NY
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