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General NPI Number Information
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NPI Number | 1730387861
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Entity Type | Organization
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Legal Business Name | DR RACHEL R KUSHNER DERMATOLOGY PC
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Dates
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Enumeration Date | 07/10/2007
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Last Update Date | 09/10/2024
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Provider Practice Location Address
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Address Line | 320 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1332
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Country | US
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Telephone | 516-328-6252
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Fax | 516-328-6254
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Provider Business Mailing Address
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Address Line | 320 FRANKLIN AVE
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City | FRANKLIN SQUARE
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State | NY
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Zip | 11010-1332
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Country | US
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Telephone | 516-328-6252
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Fax | 516-328-6254
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RACHEL R KUSHNER
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Credential | DO
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Telephone | 516-328-6252
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207ND0101X
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Taxonomy Name | MOHS-Micrographic Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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