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General NPI Number Information
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NPI Number | 1992347710
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Entity Type | Organization
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Legal Business Name | DR. RACHEL KATIMS, O.D., PLLC
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Dates
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Enumeration Date | 10/14/2019
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Last Update Date | 10/14/2019
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Provider Practice Location Address
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Address Line | 76 MAIN STREET
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City | PORT WASHINGTON
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State | NY
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Zip | 11050
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Country | US
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Telephone | 516-767-2106
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Fax | 516-944-3711
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Provider Business Mailing Address
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Address Line | 76 MAIN STREET
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City | PORT WASHINGTON
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State | NY
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Zip | 11050
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Country | US
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Telephone | 516-767-2106
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Fax | 516-944-3711
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Authorized Official
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Title or Position | OPTOMETRIST
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Name | DR. RACHEL KATIMS
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Credential | OD
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Telephone | 516-767-2106
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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License Number |
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License Number State |
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