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General NPI Number Information
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NPI Number | 1477964195
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Entity Type | Individual
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Provider Name | INESSA RACHEL BACHOVE D.O.
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Gender | Female
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Dates
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Enumeration Date | 05/15/2014
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Last Update Date | 10/23/2019
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Provider Practice Location Address
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Address Line | 3365 BURNS RD STE 206
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4303
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Country | US
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Telephone | 561-227-1456
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Fax | 561-775-7980
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Provider Business Mailing Address
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Address Line | 11880 SW 40TH ST STE 304
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City | MIAMI
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State | FL
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Zip | 33175-3574
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Country | US
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Telephone | 305-223-8808
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Fax | 305-223-8974
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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 | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | 05017039
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | OS13953
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 05017039
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License Number State | PA
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Taxonomy #4
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | OS13953
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License Number State | FL
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