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NPI Code Detail

MEDICARE: DR. EDWIN BRUCE RABIN D.C.

MEDICARE: DR. EDWIN BRUCE RABIN D.C.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1111N00000XChiropractorCH007217FL
2111N00000XChiropractorX012371NY
3111N00000XChiropractorTX10818TX
4111N00000XChiropractor038.011271IL

General Provider Information

NPI Number : 1215076484
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. EDWIN BRUCE RABIN D.C.
Provider Business Mailing Address
First Line : 370 OCEAN PKWY APT 11G
Second Line :
City : BROOKLYN
State : NY
Zip : 11218-4623
Country : US
Telephone Number : 208-890-6010
Fax Number :
Provider Business Practice Location Address
First Line : 1080 W BOISE AVE
Second Line :
City : BOISE
State : ID
Zip : 83706-3502
Country : US
Telephone Number : 208-388-1895
Fax Number : 208-388-1996
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/05/2007
Last Update Date : 05/23/2025

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