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General NPI Number Information
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NPI Number | 1427148717
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Entity Type | Individual
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Provider Name | ROBERT MICHAEL RAPER
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Gender | Male
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Dates
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Enumeration Date | 10/15/2006
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 2303 WAYNE MEMORIAL DR
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City | GOLDSBORO
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State | NC
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Zip | 27534-1725
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Country | US
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Telephone | 919-734-0741
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Fax | 919-735-6309
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Provider Business Mailing Address
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Address Line | 115 MOSSBURG DR
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City | GOLDSBORO
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State | NC
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Zip | 27530-9039
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Country | US
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Telephone | 919-731-3802
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Fax | 919-735-6309
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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 | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 11214
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License Number State | NC
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