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General NPI Number Information
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NPI Number | 1902063183
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Entity Type | Organization
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Legal Business Name | RALPH B RABIN DPM LLC
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Dates
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Enumeration Date | 05/16/2008
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Last Update Date | 05/16/2008
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Provider Practice Location Address
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Address Line | 14044 W CAMELBACK RD SUITE 114
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City | LITCHFIELD PARK
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State | AZ
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Zip | 85340-9428
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Country | US
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Telephone | 623-846-9000
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Fax | 623-846-4021
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Provider Business Mailing Address
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Address Line | 4550 N 51ST AVE SUITE 31
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City | PHOENIX
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State | AZ
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Zip | 85031-1708
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Country | US
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Telephone | 623-846-9000
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Fax | 623-846-4021
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RALPH B RABIN
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Credential | DPM
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Telephone | 623-846-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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