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General NPI Number Information
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NPI Number | 1891235727
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Entity Type | Organization
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Legal Business Name | GEORGE A. RAPP, M.D., INC.
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Dates
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Enumeration Date | 02/25/2017
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Last Update Date | 02/25/2017
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Provider Practice Location Address
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Address Line | 207 W LEGION RD
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City | BRAWLEY
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State | CA
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Zip | 92227-7780
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Country | US
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Telephone | 760-351-3333
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Fax |
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Provider Business Mailing Address
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Address Line | 2205 CROSS RD
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City | EL CENTRO
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State | CA
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Zip | 92243-9703
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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 | PHYSICIAN
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Name | DR. GEORGE ANTHONY RAPP
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Credential | M.D.
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Telephone | 714-721-8943
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085R0204X
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Taxonomy Name | Vascular & Interventional Radiology Physician
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License Number | A123361
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License Number State | CA
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