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General NPI Number Information
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NPI Number | 1548509292
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Entity Type | Individual
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Provider Name | JOHN K RABAC M.ED, PHD
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Gender | Male
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Dates
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Enumeration Date | 01/31/2013
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 1155 LOUISIANA AVE SUITE 207
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City | WINTER PARK
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State | FL
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Zip | 32789-2341
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Country | US
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Telephone | 561-684-7300
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Fax | 561-684-7450
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Provider Business Mailing Address
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Address Line | 2260 PALM BEACH LAKES BLVD SUITE 212
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-3411
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Country | US
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Telephone | 561-684-7300
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Fax | 561-684-7450
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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 | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State |
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