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General NPI Number Information
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NPI Number | 1144212937
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Entity Type | Individual
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Provider Name | MAGDALENO RAGUNTON RAPACON MD
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Gender | Male
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Dates
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Enumeration Date | 08/17/2005
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Last Update Date | 01/09/2013
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Provider Practice Location Address
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Address Line | 97 W PARKWAY
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City | POMPTON PLAINS
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State | NJ
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Zip | 07444-1647
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Country | US
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Telephone | 973-831-5140
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 450
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City | CLIFFSIDE PARK
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State | NJ
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Zip | 07010-0450
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Country | US
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Telephone | 201-842-3978
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Fax |
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 25MA02834300
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License Number State | NJ
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