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General NPI Number Information
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NPI Number | 1831384825
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Entity Type | Individual
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Provider Name | CLAIRE RAPHAEL DDS
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Gender | Female
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Dates
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Enumeration Date | 09/12/2007
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Last Update Date | 05/18/2013
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Provider Practice Location Address
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Address Line | 4432 CONLIN ST STE 1A
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City | METAIRIE
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State | LA
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Zip | 70006-2146
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Country | US
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Telephone | 504-888-9204
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Fax |
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Provider Business Mailing Address
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Address Line | 4432 CONLIN ST STE 1A
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City | METAIRIE
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State | LA
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Zip | 70006-2146
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Country | US
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Telephone | 504-888-9204
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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License Number | Z11759
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 6367
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License Number State | LA
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