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General NPI Number Information
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NPI Number | 1720611312
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Entity Type | Individual
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Provider Name | RACHEL DAWN VANDERLAAN MD,PHD
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Gender | Female
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Dates
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Enumeration Date | 02/21/2020
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Last Update Date | 02/21/2020
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Provider Practice Location Address
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Address Line | NEWYORK-PRESBYTERIAN MORGAN STANLEY CHILDREN'S HOSPITAL 3959 BROADWAY AVE SUITE: 274
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City | NEW YORK
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State | NY
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Zip | 10032
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Country | US
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Telephone | 212-305-2688
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Fax |
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Provider Business Mailing Address
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Address Line | 602 W 165TH ST APT B
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City | NEW YORK
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State | NY
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Zip | 10032-7912
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Country | US
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Telephone | 416-262-8810
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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 | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 300560
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License Number State | NY
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