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General NPI Number Information
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NPI Number | 1598145914
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Entity Type | Individual
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Provider Name | RAPHAEL FABRIZI D.P.T.
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Gender | Male
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Dates
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Enumeration Date | 06/01/2015
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Last Update Date | 09/08/2015
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Provider Practice Location Address
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Address Line | 7300 PORTER RD SUITE 3
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-5716
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Country | US
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Telephone | 716-298-9390
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Fax | 716-298-9391
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Provider Business Mailing Address
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Address Line | 7300 PORTER RD SUITE 3
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City | NIAGARA FALLS
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State | NY
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Zip | 14304-5716
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Country | US
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Telephone | 716-298-9390
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Fax | 716-298-9391
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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 | 039447
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License Number State | NY
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