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General NPI Number Information
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NPI Number | 1659465664
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Entity Type | Individual
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Provider Name | JANE Z WACHS M.D.
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Gender | Female
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Dates
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Enumeration Date | 10/03/2006
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Last Update Date | 11/05/2013
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Provider Practice Location Address
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Address Line | 73 MARKET ST
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City | YONKERS
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State | NY
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Zip | 10710-7616
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Country | US
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Telephone | 914-848-8050
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Fax | 914-848-8051
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Provider Business Mailing Address
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Address Line | 73 MARKET ST RIDGE HILL
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City | YONKERS
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State | NY
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Zip | 10710-7616
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Country | US
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Telephone | 914-848-8050
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Fax | 914-848-8051
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 169027
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License Number State | NY
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