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General NPI Number Information
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NPI Number | 1619008349
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Entity Type | Individual
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Provider Name | RAY S. RAFETTO D.M.D,
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Gender | Male
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Dates
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Enumeration Date | 03/07/2007
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Last Update Date | 07/08/2007
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Provider Practice Location Address
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Address Line | 4901 LIMESTONE RD
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City | WILMINGTON
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State | DE
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Zip | 19808-1271
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Country | US
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Telephone | 302-239-4600
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Fax | 302-239-9951
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Provider Business Mailing Address
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Address Line | 4901 LIMESTONE RD
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City | WILMINGTON
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State | DE
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Zip | 19808-1271
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Country | US
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Telephone | 302-239-4600
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Fax | 302-239-9951
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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 | 1223X0400X
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Taxonomy Name | Orthodontics and Dentofacial Orthopedics Dentistry
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License Number | G1-0000968
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License Number State | DE
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