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General NPI Number Information
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NPI Number | 1659333094
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Entity Type | Individual
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Provider Name | ANNA RABINOVICH NP
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Gender | Female
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Dates
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Enumeration Date | 04/03/2006
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Last Update Date | 06/19/2009
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Provider Practice Location Address
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Address Line | 400 GARDEN CITY PLZ SUITE 111
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City | GARDEN CITY
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State | NY
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Zip | 11530-3322
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Country | US
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Telephone | 516-739-3030
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Fax | 516-739-3044
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Provider Business Mailing Address
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Address Line | 379 PENINSULA BLVD
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City | LYNBROOK
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State | NY
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Zip | 11563-3155
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Country | US
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Telephone | 516-599-6529
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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 | 363LA2200X
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Taxonomy Name | Adult Health Nurse Practitioner
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License Number | F304212
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License Number State | NY
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