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General NPI Number Information
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NPI Number | 1467495671
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Entity Type | Individual
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Provider Name | ROBERT EDWIN RAFFEL MD
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Gender | Male
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Dates
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Enumeration Date | 06/14/2006
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 7600 N 16TH ST SUITE 150
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City | PHOENIX
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State | AZ
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Zip | 85020-4431
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Country | US
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Telephone | 602-395-0718
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Fax | 602-277-8146
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Provider Business Mailing Address
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Address Line | PO BOX 39179
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City | PHOENIX
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State | AZ
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Zip | 85069-9179
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Country | US
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Telephone | 602-395-0718
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Fax | 602-277-8146
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | G23197
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME0018394
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License Number State | FL
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Taxonomy #3
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | ME 89063
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 36043325
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 30041
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License Number State | AZ
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Taxonomy #6
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 40703
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License Number State | CO
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