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General NPI Number Information
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NPI Number | 1477648160
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Entity Type | Individual
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Provider Name | RALPH P IERARDI MD
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Gender | Male
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Dates
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Enumeration Date | 10/04/2006
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Last Update Date | 11/13/2024
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Provider Practice Location Address
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Address Line | 483 N SEMORAN BLVD STE 102
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City | WINTER PARK
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State | FL
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Zip | 32792-3800
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Country | US
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Telephone | 407-645-1847
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Fax | 321-274-0245
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Provider Business Mailing Address
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Address Line | 483 N SEMORAN BLVD STE 102
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City | WINTER PARK
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State | FL
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Zip | 32792-3800
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Country | US
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Telephone | 407-645-1847
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Fax | 321-274-0246
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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 | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | C10008237
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | C10008237
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | MA59847
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License Number State | NJ
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Taxonomy #4
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | ME136693
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License Number State | FL
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