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General NPI Number Information
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NPI Number | 1285660928
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Entity Type | Individual
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Provider Name | STEPHEN JUDE RAPATZ-HARR PA
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Gender | Male
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Dates
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Enumeration Date | 06/24/2006
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Last Update Date | 10/11/2024
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Provider Practice Location Address
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Address Line | 200 STATE AVE
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City | FARIBAULT
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State | MN
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Zip | 55021-6339
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Country | US
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Telephone | 507-334-8333
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Fax | 507-497-3898
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Provider Business Mailing Address
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Address Line | 2829 UNIVERSITY AVE SE STE 730
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City | MINNEAPOLIS
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State | MN
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Zip | 55414-3279
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Country | US
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Telephone |
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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 | 363AM0700X
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Taxonomy Name | Medical Physician Assistant
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License Number | 8917
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License Number State | MN
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