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General NPI Number Information
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NPI Number | 1477579159
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Entity Type | Organization
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Legal Business Name | J. ALAN RAPPAZZO, MD,PC
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Dates
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Enumeration Date | 07/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 445 E WINDMERE DR
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City | PHOENIX
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State | AZ
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Zip | 85048-1982
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Country | US
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Telephone | 480-242-5326
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Fax | 480-248-8525
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Provider Business Mailing Address
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Address Line | 445 E WINDMERE DR
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City | PHOENIX
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State | AZ
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Zip | 85048-1982
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Country | US
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Telephone | 480-242-5326
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Fax | 480-248-8525
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JOSEPH ALAN RAPPAZZO
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Credential | M.D.
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Telephone | 480-242-5326
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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 | 13585
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License Number State | AZ
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