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General NPI Number Information
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NPI Number | 1912107863
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Entity Type | Individual
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Provider Name | MICHAEL PAUL RABINOWITZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 07/19/2007
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Last Update Date | 11/19/2015
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Provider Practice Location Address
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Address Line | 840 WALNUT STREET
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City | PHILADELPHIA
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State | PA
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Zip | 19107
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Country | US
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Telephone | 610-649-1970
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Fax |
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Provider Business Mailing Address
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Address Line | 100 E LANCASTER AVE STE 54
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City | WYNNEWOOD
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State | PA
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Zip | 19096-3438
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Country | US
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Telephone | 610-649-1970
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Fax | 610-552-0030
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MT190293
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | MT190293
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | MD441992
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License Number State | PA
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