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General NPI Number Information
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NPI Number | 1700168614
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Entity Type | Organization
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Legal Business Name | NEW YORK HOME KIDNEY AND MEDICINE CARE PLLC
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Dates
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Enumeration Date | 09/16/2011
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Last Update Date | 12/06/2011
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Provider Practice Location Address
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Address Line | 541 E 20TH ST #13E
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City | NEW YORK
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State | NY
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Zip | 10010-7612
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Country | US
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Telephone | 917-282-8085
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Fax |
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Provider Business Mailing Address
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Address Line | 541 E 20TH ST #13E
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City | NEW YORK
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State | NY
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Zip | 10010-7612
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Country | US
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Telephone | 917-282-8085
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. RAHMIN A RABENOU
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Credential | M.D.
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Telephone | 917-282-8085
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | 208912
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License Number State | NY
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Taxonomy #2
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 208912
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License Number State | NY
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 208912
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License Number State | NY
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