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General NPI Number Information
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NPI Number | 1306261920
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Entity Type | Individual
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Provider Name | ALLISON RIFKIN
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Gender | Female
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Dates
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Enumeration Date | 02/19/2014
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Last Update Date | 05/23/2019
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Provider Practice Location Address
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Address Line | 1071 STONELEIGH AVE
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City | CARMEL
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State | NY
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Zip | 10512-2400
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Country | US
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Telephone | 845-306-7941
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Fax |
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Provider Business Mailing Address
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Address Line | 102 RANDOM FARMS DR
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City | CHAPPAQUA
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State | NY
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Zip | 10514-1019
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Country | US
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Telephone | 914-523-3167
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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 | 057929
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License Number State | NY
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