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General NPI Number Information
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NPI Number | 1285791012
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Entity Type | Organization
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Legal Business Name | MICHAEL F. RAFFERTY D.O. P.C.
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Dates
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Enumeration Date | 01/02/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1650 HUNTINGDON PIKE SUITE 256
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City | MEADOWBROOK
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State | PA
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Zip | 19046-8004
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Country | US
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Telephone | 215-938-1070
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Fax | 215-938-0250
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Provider Business Mailing Address
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Address Line | 1650 HUNTINGDON PIKE SUITE 256
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City | MEADOWBROOK
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State | PA
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Zip | 19046-8004
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Country | US
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Telephone | 215-938-1070
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Fax | 215-938-0250
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | ERICA RAFFERTY
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Credential |
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Telephone | 215-938-1070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | OS006731L
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License Number State | PA
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