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General NPI Number Information
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NPI Number | 1538269345
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Entity Type | Individual
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Provider Name | STELLA C RAPOSAS M.D.
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Gender | Female
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Dates
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Enumeration Date | 09/22/2006
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Last Update Date | 08/19/2024
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Provider Practice Location Address
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Address Line | 155 CALLE PORTAL STE 700
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City | SIERRA VISTA
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State | AZ
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Zip | 85635-2973
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Country | US
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Telephone | 520-459-0203
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Fax | 520-515-8663
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Provider Business Mailing Address
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Address Line | PO BOX 617
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City | SOMERTON
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State | AZ
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Zip | 85350-0617
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Country | US
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Telephone | 928-315-7910
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Fax | 928-627-1255
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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 | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 26159
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License Number State | AZ
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