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General NPI Number Information
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NPI Number | 1760663322
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Entity Type | Organization
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Legal Business Name | DR. DAVID RAKOFSKY PC
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Dates
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Enumeration Date | 11/23/2007
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 1011 W WELLINGTON AVE STE 210
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City | CHICAGO
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State | IL
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Zip | 60657-7187
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Country | US
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Telephone | 312-384-1940
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Fax | 773-423-8444
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Provider Business Mailing Address
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Address Line | 1950 N STEMMONS FWY #5010 LOCKBOX 844274 LOCKBOX 844274
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City | DALLAS
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State | TX
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Zip | 75207-3199
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Country | US
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Telephone | 312-384-1940
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Fax | 773-423-8444
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | DEANA MARTINSON
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Credential |
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Telephone | 941-735-3034
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number | 071006828
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License Number State | IL
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