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NPI 1295727584

NPI 1295727584 : PETER A RAPOZA : BOSTON, MA

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General NPI Number Information
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    NPI Number           |    1295727584
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    Entity Type          |    Individual 
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    Provider Name        |    PETER A RAPOZA
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    08/22/2005
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    Last Update Date     |    12/11/2024
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Provider Practice Location Address
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    Address Line         |    50 STANIFORD ST SUITE 600
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02114-2517
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    Country              |    US
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    Telephone            |    617-367-4800
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    Fax                  |    617-723-7028
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Provider Business Mailing Address
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    Address Line         |    50 STANIFORD ST SUITE 600
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    City                 |    BOSTON
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    State                |    MA
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    Zip                  |    02114-2517
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    Country              |    US
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    Telephone            |    617-367-4800
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    Fax                  |    617-723-7028
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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        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    042.0018151
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    License Number State |    VT
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Taxonomy #2
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    Taxonomy Code        |    207W00000X
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    Taxonomy Name        |    Ophthalmology Physician
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    License Number       |    75427
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    License Number State |    MA
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