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General NPI Number Information
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NPI Number | 1568632271
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Entity Type | Organization
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Legal Business Name | SHELDON RABIN, M.D., P.C.
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Dates
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Enumeration Date | 03/10/2008
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Last Update Date | 03/18/2008
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Provider Practice Location Address
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Address Line | 41-61 KISSENA BLVD
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City | FLUSHING
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State | NY
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Zip | 11355
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Country | US
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Telephone | 718-539-4010
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Fax | 718-321-9587
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Provider Business Mailing Address
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Address Line | 59 WENSLEY DR
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City | GREAT NECK
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State | NY
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Zip | 11020-1835
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Country | US
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Telephone | 718-539-4040
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Fax | 718-321-9587
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | DR. SHELDON RABIN
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Credential | MD
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Telephone | 718-539-4010
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 112082
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License Number State | NY
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