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General NPI Number Information
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NPI Number | 1699891416
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Entity Type | Organization
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Legal Business Name | DIMITRY RABKIN, M.D., P.C.
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Dates
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Enumeration Date | 03/22/2007
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Last Update Date | 01/28/2008
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Provider Practice Location Address
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Address Line | 202 QUENTIN RD 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11223-1475
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Country | US
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Telephone | 718-339-6800
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Fax | 718-375-4187
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Provider Business Mailing Address
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Address Line | 202 QUENTIN RD 1ST FLOOR
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City | BROOKLYN
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State | NY
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Zip | 11223-1475
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Country | US
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Telephone | 718-339-6800
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Fax | 718-375-4187
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DIMITRY RABKIN
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Credential | M.D.
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Telephone | 718-339-6800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207YX0602X
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Taxonomy Name | Otolaryngic Allergy Physician
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License Number | 187443
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License Number State | NY
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