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General NPI Number Information
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NPI Number | 1598969040
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Entity Type | Individual
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Provider Name | MICHAEL LAWRENCE RINKE M.D., PH.D.
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Gender | Male
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Dates
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Enumeration Date | 06/11/2007
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Last Update Date | 09/23/2016
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Provider Practice Location Address
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Address Line | 3411 WAYNE AVE ROOM 801
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City | BRONX
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State | NY
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Zip | 10467-2509
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Country | US
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Telephone | 718-741-2524
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Fax |
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Provider Business Mailing Address
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Address Line | 3411 WAYNE AVE ROOM 801
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City | BRONX
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State | NY
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Zip | 10467-2509
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Country | US
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Telephone | 718-741-2524
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 22173
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | D70445
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License Number State | MD
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