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General NPI Number Information
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NPI Number | 1639706922
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Entity Type | Individual
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Provider Name | MIRANDA STIEWIG-RAPP DO
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Gender | Female
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Dates
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Enumeration Date | 03/25/2020
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Last Update Date | 09/23/2025
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Provider Practice Location Address
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Address Line | 4610 X ST STE 4202
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City | SACRAMENTO
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State | CA
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Zip | 95817-2200
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Country | US
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Telephone | 916-734-2727
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Fax |
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Provider Business Mailing Address
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Address Line | 4610 X ST STE 4202
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City | SACRAMENTO
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State | CA
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Zip | 95817-2200
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Country | US
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Telephone |
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Fax |
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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 | 207RE0101X
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Taxonomy Name | Endocrinology, Diabetes & Metabolism Physician
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License Number | 20A21199
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License Number State | CA
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