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General NPI Number Information
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NPI Number | 1588636682
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Entity Type | Individual
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Provider Name | ANTHONY J RAPPLEAN PT
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 05/14/2014
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Provider Practice Location Address
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Address Line | 7309 N KNOXVILLE AVE
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City | PEORIA
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State | IL
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Zip | 61614-2085
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Country | US
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Telephone | 309-692-1538
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Fax | 309-683-4209
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Provider Business Mailing Address
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Address Line | 2209 W GERALD CT
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City | PEORIA
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State | IL
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Zip | 61615-1526
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Country | US
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Telephone | 309-243-1745
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 070-009208
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License Number State | IL
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