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General NPI Number Information
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NPI Number | 1912153792
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Entity Type | Individual
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Provider Name | MICHAEL RACHSHTUT M.D.
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Gender | Male
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Dates
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Enumeration Date | 08/13/2008
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Last Update Date | 05/21/2018
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Provider Practice Location Address
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Address Line | MD ANDERSON CANCER CENTER 2 COOPER PLAZA
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City | CAMDEN
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State | NJ
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Zip | 08103
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Country | US
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Telephone | 855-632-2667
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Fax |
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Provider Business Mailing Address
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Address Line | 1 FEDERAL ST # 200
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City | CAMDEN
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State | NJ
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Zip | 08103-1088
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Country | US
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Telephone | 856-356-4924
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Fax | 856-356-4793
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | MD427270
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 25MA08080500
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License Number State | NJ
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Taxonomy #3
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 25MA08080500
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License Number State | NJ
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