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General NPI Number Information
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NPI Number | 1972454619
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Entity Type | Individual
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Provider Name | RACHEL ROSENBERG
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Gender | Female
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 1229 BROADWAY STE 201
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City | HEWLETT
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State | NY
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Zip | 11557-2014
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Country | US
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Telephone | 516-501-9840
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Fax | 516-501-9850
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Provider Business Mailing Address
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Address Line | 1229 BROADWAY STE 201
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City | HEWLETT
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State | NY
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Zip | 11557-2014
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Country | US
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Telephone | 516-501-9840
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Fax | 516-501-9850
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 008757
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License Number State | NY
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