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General NPI Number Information
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NPI Number | 1548392137
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Entity Type | Organization
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Legal Business Name | RALPH B. RABIN DPM LLC
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Dates
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Enumeration Date | 03/10/2007
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Last Update Date | 04/20/2016
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Provider Practice Location Address
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Address Line | 13055 W MCDOWELL RD SUITE G108
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City | AVONDALE
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State | AZ
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Zip | 85392-6450
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Country | US
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Telephone | 623-846-9000
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Fax | 623-846-4021
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Provider Business Mailing Address
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Address Line | 13055 W MCDOWELL RD STE G108
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City | AVONDALE
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State | AZ
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Zip | 85392-6450
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Country | US
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Telephone | 623-846-9000
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Fax | 623-846-4021
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SANDY RABIN
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Credential |
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Telephone | 623-846-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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