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General NPI Number Information
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NPI Number | 1174736763
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Entity Type | Individual
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Provider Name | IRENE M RAPP R.D.
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Gender | Female
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Dates
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Enumeration Date | 05/08/2007
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Last Update Date | 07/09/2007
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Provider Practice Location Address
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Address Line | 10 NICHOLS ST
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City | DAVENPORT
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State | WA
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Zip | 99122-9729
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Country | US
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Telephone | 509-725-7101
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Fax | 509-725-2112
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Provider Business Mailing Address
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Address Line | 14022 E 42ND CT
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City | VERADALE
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State | WA
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Zip | 99037-9140
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Country | US
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Telephone | 509-725-7101
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Fax | 509-725-2112
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number | DI00000732
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License Number State | WA
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