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General NPI Number Information
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NPI Number | 1639358120
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Entity Type | Organization
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Legal Business Name | RONALD JAY RAPOPORT, MD
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Dates
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Enumeration Date | 10/31/2007
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Last Update Date | 11/07/2007
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Provider Practice Location Address
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Address Line | 1030 PRESIDENT AVE
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City | FALL RIVER
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State | MA
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Zip | 02720-5923
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Country | US
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Telephone | 508-676-3411
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Fax | 508-676-6277
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Provider Business Mailing Address
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Address Line | 1030 PRESIDENT AVE
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City | FALL RIVER
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State | MA
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Zip | 02720-5923
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Country | US
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Telephone | 508-676-3411
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Fax | 508-676-6277
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Authorized Official
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Title or Position | PHYSICIAN
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Name | DR. RONALD JAY RAPOPORT
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Credential | M.D.
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Telephone | 508-676-3411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 44177
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License Number State | MA
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