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General NPI Number Information
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NPI Number | 1578184875
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Entity Type | Individual
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Provider Name | RACHEL IBRAHIM M.D.
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Gender | Female
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Dates
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Enumeration Date | 04/28/2020
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Last Update Date | 11/06/2025
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Provider Practice Location Address
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Address Line | 1364 CLIFTON RD NE
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City | ATLANTA
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State | GA
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Zip | 30322-1059
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Country | US
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Telephone | 404-712-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 531 ASBURY CIR STE N340
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City | ATLANTA
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State | GA
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Zip | 30322-1006
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Country | US
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Telephone | 404-712-1577
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Fax | 404-778-2630
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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 | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | MD478806
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 104602
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License Number State | GA
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