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General NPI Number Information
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NPI Number | 1790406361
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Entity Type | Individual
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Provider Name | RACHEL KABOTYANSKY M.S., CF-SLP
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Gender | Female
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Dates
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Enumeration Date | 09/12/2022
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Last Update Date | 09/12/2022
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Provider Practice Location Address
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Address Line | 4103 N 48TH TER
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City | HOLLYWOOD
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State | FL
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Zip | 33021-1752
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Country | US
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Telephone | 732-241-7811
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Fax |
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Provider Business Mailing Address
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Address Line | 19380 COLLINS AVE APT 1620
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City | SUNNY ISLES BEACH
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State | FL
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Zip | 33160-2457
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Country | US
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Telephone | 732-241-7811
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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 | 235Z00000X
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Taxonomy Name | Speech-Language Pathologist
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License Number | SZ10787
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License Number State | FL
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