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General NPI Number Information
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NPI Number | 1811670391
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Entity Type | Organization
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Legal Business Name | JASON G RABINOWITZ OD PLLC
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Dates
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Enumeration Date | 08/10/2023
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 101 HOWLAND BLVD
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City | DELTONA
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State | FL
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Zip | 32738-9200
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Country | US
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Telephone | 407-328-9380
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Fax |
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Provider Business Mailing Address
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Address Line | 5221 PIPER LN
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City | SANFORD
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State | FL
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Zip | 32771-5465
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Country | US
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Telephone | 954-461-0014
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | TRACEY J MURPHY
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Credential |
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Telephone | 800-353-5420
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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