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General NPI Number Information
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NPI Number | 1588540736
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Entity Type | Individual
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Provider Name | RACHEL SUSSMAN PHARMD
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Gender | Female
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Dates
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Enumeration Date | 08/13/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 610 W 158TH ST
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City | NEW YORK
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State | NY
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Zip | 10032-7104
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Country | US
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Telephone | 212-544-1860
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Fax |
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Provider Business Mailing Address
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Address Line | 3850 HUDSON MANOR TER APT 2GE
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City | BRONX
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State | NY
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Zip | 10463-1135
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Country | US
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Telephone | 518-796-2525
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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 | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 055359
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License Number State | NY
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