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General NPI Number Information
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NPI Number | 1639366172
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Entity Type | Organization
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Legal Business Name | RAPPE CHIROPRACTIC INC
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Dates
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Enumeration Date | 09/28/2007
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Last Update Date | 09/28/2007
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Provider Practice Location Address
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Address Line | 78474 HIGHWAY 111 C
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City | LA QUINTA
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State | CA
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Zip | 92253-2088
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Country | US
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Telephone | 760-777-4177
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Fax | 760-777-4174
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Provider Business Mailing Address
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Address Line | 15550 ROCKFIELD BLVD B220
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City | IRVINE
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State | CA
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Zip | 92618-2720
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Country | US
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Telephone | 949-598-9999
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Fax | 949-598-9990
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Authorized Official
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Title or Position | OWNER DR OF CHIROPRACTIC
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Name | GREY A RAPPE
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Credential | D.C.
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Telephone | 760-777-4177
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | DC20357
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License Number State | CA
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