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General NPI Number Information
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NPI Number | 1912963968
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Entity Type | Individual
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Provider Name | RACHEL BREGMAN MD
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Gender | Female
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Dates
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Enumeration Date | 04/26/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 525 W 110TH ST SUITE 1E
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City | NEW YORK
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State | NY
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Zip | 10025-2005
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Country | US
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Telephone | 646-764-0025
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Fax |
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Provider Business Mailing Address
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Address Line | 300 W 108TH ST APT 13A
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City | NEW YORK
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State | NY
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Zip | 10025-2757
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Country | US
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Telephone | 646-245-4773
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 217860
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License Number State | NY
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