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General NPI Number Information
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NPI Number | 1639242001
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Entity Type | Individual
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Provider Name | ELENA RAPOPORT MD
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Gender | Female
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Dates
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Enumeration Date | 11/15/2006
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Last Update Date | 12/04/2025
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Provider Practice Location Address
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Address Line | 9700 VILLAGE CENTER DR STE 111
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City | GRANITE BAY
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State | CA
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Zip | 95746-6313
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Country | US
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Telephone | 916-695-9131
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Fax | 916-474-4527
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Provider Business Mailing Address
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Address Line | 4120 DOUGLAS BLVD # 306-341
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City | GRANITE BAY
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State | CA
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Zip | 95746-5936
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Country | US
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Telephone | 916-915-3695
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Fax | 949-203-3044
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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 | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | A84954
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License Number State | CA
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