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General NPI Number Information
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NPI Number | 1417217910
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Entity Type | Individual
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Provider Name | DR. KIM RAPPAPORT
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Gender | Female
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Dates
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Enumeration Date | 05/18/2012
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Last Update Date | 02/13/2025
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Provider Practice Location Address
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Address Line | 855 EL CAMINO REAL STE 95
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City | PALO ALTO
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State | CA
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Zip | 94301-2341
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Country | US
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Telephone | 650-327-6122
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Fax |
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Provider Business Mailing Address
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Address Line | 22034 CLEARWOOD CT
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City | CUPERTINO
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State | CA
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Zip | 95014-1102
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Country | US
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Telephone | 408-873-8684
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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 | 174400000X
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Taxonomy Name | Specialist
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License Number | G83381
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License Number State | CA
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