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General NPI Number Information
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NPI Number | 1417912684
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Entity Type | Individual
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Provider Name | STEPHEN A SAPONARO MD
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Gender | Male
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Dates
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Enumeration Date | 04/19/2006
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Last Update Date | 03/11/2020
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Provider Practice Location Address
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Address Line | 39000 BOB HOPE DR
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-636-6798
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Fax | 760-773-1802
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Provider Business Mailing Address
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Address Line | 39000 BOB HOPE DR
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City | RANCHO MIRAGE
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State | CA
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Zip | 92270-3221
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Country | US
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Telephone | 760-636-6798
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Fax | 760-773-1802
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | MD062393L
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License Number State | PA
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 26046
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License Number State | OK
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 25MA07614200
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | G88603
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License Number State | CA
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