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General NPI Number Information
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NPI Number | 1346418209
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Entity Type | Individual
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Provider Name | RACHEL MARA SARILL
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Gender | Female
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Dates
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Enumeration Date | 02/13/2008
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Last Update Date | 12/13/2021
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Provider Practice Location Address
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Address Line | 2025 BROADWAY APT 5F
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City | NEW YORK
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State | NY
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Zip | 10023-5038
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Country | US
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Telephone | 718-350-3171
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Fax |
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Provider Business Mailing Address
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Address Line | 9 QUAIL COURT
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City | MARLBORO
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State | NJ
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Zip | 07746
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Country | US
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Telephone |
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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 | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 002196-1
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number | 41YA00071700
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License Number State | NJ
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