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General NPI Number Information
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NPI Number | 1528179942
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Entity Type | Individual
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Provider Name | RACHEL ANNE POWSNER M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/31/2006
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Last Update Date | 11/20/2014
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Provider Practice Location Address
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Address Line | 1400 VFW PKWY 2C119
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City | WEST ROXBURY
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State | MA
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Zip | 02132-4927
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Country | US
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Telephone | 857-203-5928
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Fax |
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Provider Business Mailing Address
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Address Line | 162 MAYFAIR DR
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City | WESTWOOD
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State | MA
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Zip | 02090-2728
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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 | 207UN0902X
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Taxonomy Name | Nuclear Imaging & Therapy Physician
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License Number | 53025
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License Number State | MA
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Taxonomy #2
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 53025
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License Number State | MA
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