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General NPI Number Information
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NPI Number | 1477747467
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Entity Type | Organization
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Legal Business Name | PETER RAPPA MD PA
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Dates
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Enumeration Date | 09/01/2007
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Last Update Date | 09/01/2007
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Provider Practice Location Address
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Address Line | 13410 PRESTON RD 1-352
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City | DALLAS
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State | TX
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Zip | 75240-5299
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Country | US
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Telephone | 972-386-5004
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Fax |
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Provider Business Mailing Address
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Address Line | 13410 PRESTON RD 1-352
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City | DALLAS
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State | TX
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Zip | 75240-5299
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Country | US
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Telephone | 972-386-5004
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. PETER JOHN RAPPA
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Credential | MD
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Telephone | 972-740-0687
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208100000X
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Taxonomy Name | Physical Medicine & Rehabilitation Physician
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License Number | H8345
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License Number State | TX
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