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General NPI Number Information
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NPI Number | 1073578654
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Entity Type | Individual
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Provider Name | RALPH ZIPPER MD
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Gender | Male
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Dates
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Enumeration Date | 04/18/2006
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Last Update Date | 03/30/2011
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Provider Practice Location Address
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Address Line | 1130 S HARBOR CITY BLVD SUITE 101
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City | MELBOURNE
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State | FL
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Zip | 32901-1966
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Country | US
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Telephone | 321-914-4211
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Fax | 321-914-4212
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Provider Business Mailing Address
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Address Line | 1130 S HARBOR CITY BLVD SUITE 101
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City | MELBOURNE
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State | FL
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Zip | 32901-1966
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Country | US
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Telephone | 321-914-4211
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Fax | 321-914-4212
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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 | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | ME76190
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License Number State | FL
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