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General NPI Number Information
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NPI Number | 1083831085
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Entity Type | Organization
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Legal Business Name | DARRIN A RAPOPORT
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Dates
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Enumeration Date | 04/19/2007
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Last Update Date | 07/23/2008
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Provider Practice Location Address
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Address Line | 411 STRANDER BLVD SUITE 302
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City | TUKWILA
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State | WA
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Zip | 98188-2935
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Country | US
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Telephone | 206-575-1086
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Fax | 206-575-0829
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Provider Business Mailing Address
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Address Line | 411 STRANDER BLVD SUITE 302
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City | TUKWILA
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State | WA
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Zip | 98188-2935
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Country | US
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Telephone | 206-575-1086
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Fax | 206-575-0829
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Authorized Official
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Title or Position | INSURANCE COORDINATOR
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Name | MS. SHANNON LEAH SINCLAIR
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Credential |
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Telephone | 206-575-1086
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0300X
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Taxonomy Name | Periodontics
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License Number | DE8508
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License Number State | WA
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