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General NPI Number Information
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NPI Number | 1548344104
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Entity Type | Individual
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Provider Name | ELI M RACHLIN DDS
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Gender | Male
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Dates
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Enumeration Date | 10/24/2006
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Last Update Date | 03/08/2023
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Provider Practice Location Address
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Address Line | 135 CHESTNUT RIDGE RD STE 1130
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City | MONTVALE
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State | NJ
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Zip | 07645-1153
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Country | US
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Telephone | 201-391-4441
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Fax |
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Provider Business Mailing Address
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Address Line | 977 COLUMBUS DR
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City | TEANECK
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State | NJ
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Zip | 07666-6600
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Country | US
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Telephone | 201-212-2716
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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 | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 22DI02108900
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License Number State | NJ
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