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General NPI Number Information
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NPI Number | 1467607747
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Entity Type | Individual
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Provider Name | RACHEL RAPHAEL-KUPFERBERG C/SIPT,MA,OTR/L
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Gender | Female
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Dates
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Enumeration Date | 11/30/2008
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Last Update Date | 04/27/2012
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Provider Practice Location Address
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Address Line | 16315 21ST RD Q PS 184
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City | WHITESTONE
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State | NY
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Zip | 11357-4000
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Country | US
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Telephone | 171-835-2780
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Fax |
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Provider Business Mailing Address
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Address Line | 7 ESSEX RD
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City | GREAT NECK
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State | NY
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Zip | 11023-2225
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Country | US
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Telephone | 151-682-9296
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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 | 171W00000X
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Taxonomy Name | Contractor
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License Number | 004113-1
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License Number State | NY
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