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General NPI Number Information
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NPI Number | 1851919443
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Entity Type | Individual
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Provider Name | RACHAEL LAUREN GERSTEIN
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Gender | Female
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Dates
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Enumeration Date | 07/09/2020
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Last Update Date | 07/09/2020
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Provider Practice Location Address
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Address Line | 20 YORK ST
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City | NEW HAVEN
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State | CT
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Zip | 06510-3220
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Country | US
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Telephone | 888-461-0106
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Fax |
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Provider Business Mailing Address
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Address Line | 111 PARK ST
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City | NEW HAVEN
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State | CT
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Zip | 06511-5412
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Country | US
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Telephone | 570-606-9376
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PCT.0015189
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License Number State | CT
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