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General NPI Number Information
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NPI Number | 1053527507
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Entity Type | Organization
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Legal Business Name | RALEIGH MEPS
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2625 APPLAINCE COURT
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City | RALEIGH
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State | NC
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Zip | 27604
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Country | US
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Telephone | 919-834-0965
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Fax | 919-755-1303
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Provider Business Mailing Address
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Address Line | 2625 APPLIANCE CT
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City | RALEIGH
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State | NC
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Zip | 27604-2468
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Country | US
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Telephone | 919-834-0965
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Fax | 919-755-1303
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DR. RAPHEAL J DINAPOLI
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Credential | MD
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Telephone | 919-834-0965
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 23920
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License Number State | NC
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