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General NPI Number Information
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NPI Number | 1538009212
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Entity Type | Individual
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Provider Name | RAPHAEL AGBAVITOR MD
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Gender | Male
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Dates
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Enumeration Date | 03/31/2026
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Last Update Date | 03/31/2026
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Provider Practice Location Address
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Address Line | 849 KELLOGG AVE
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City | JANESVILLE
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State | WI
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Zip | 53546-2808
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Country | US
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Telephone | 815-971-3314
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Fax |
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Provider Business Mailing Address
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Address Line | 2927 MARCONI AVE APT 42
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City | SACRAMENTO
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State | CA
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Zip | 95821-5049
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Country | US
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Telephone | 815-971-3314
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Fax |
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | WI
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