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General NPI Number Information
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NPI Number | 1124085246
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Entity Type | Individual
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Provider Name | RAFEL TAPPOUNI MD
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Gender | Male
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Dates
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Enumeration Date | 05/01/2006
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 1796 RIDGE OAKS DR
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City | OAK RIDGE
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State | NC
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Zip | 27310-8714
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Country | US
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Telephone | 813-745-7365
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Fax | 813-449-8618
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Provider Business Mailing Address
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Address Line | PO BOX 198441
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City | ATLANTA
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State | GA
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Zip | 30384-8441
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Country | US
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Telephone | 813-745-7365
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Fax | 813-449-8618
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD427572
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | ME129700
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 2012-00166
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License Number State | NC
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