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General NPI Number Information
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NPI Number | 1578982864
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Entity Type | Individual
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Provider Name | NATHAN CHARAPATA MD
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Gender | Male
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 12/06/2024
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Provider Practice Location Address
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Address Line | 1715 N VENTURA LN
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City | TEMPE
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State | AZ
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Zip | 85288-1463
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Country | US
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Telephone | 970-238-6375
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Fax |
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Provider Business Mailing Address
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Address Line | 1715 N VENTURA LN
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City | TEMPE
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State | AZ
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Zip | 85288-1463
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Country | US
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Telephone | 970-238-6375
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 13615C
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 54255
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License Number State | AZ
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | CDRH.0059617
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | DR.0059617
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License Number State | CO
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