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General NPI Number Information
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NPI Number | 1528348562
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Entity Type | Individual
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Provider Name | MIRIAM RAHAV M.D.
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Gender | Female
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Dates
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Enumeration Date | 08/22/2011
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Last Update Date | 05/01/2019
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Provider Practice Location Address
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Address Line | 205 W 15TH ST SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10011-6412
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Country | US
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Telephone | 212-717-1118
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Fax | 212-717-1121
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Provider Business Mailing Address
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Address Line | 205 W 15TH ST SUITE 1B
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City | NEW YORK
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State | NY
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Zip | 10011-6412
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Country | US
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Telephone | 212-717-1118
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Fax | 212-717-1121
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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 | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 264399
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 264399
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License Number State | NY
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