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General NPI Number Information
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NPI Number | 1902934607
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Entity Type | Organization
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Legal Business Name | HERBERT I. RAPPAPORT, M.D., A PROFESSIONAL CORPORATION
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Dates
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Enumeration Date | 03/02/2007
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Last Update Date | 06/11/2012
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Provider Practice Location Address
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Address Line | 158 N ANITA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90049-2720
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Country | US
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Telephone | 310-440-0966
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Fax |
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Provider Business Mailing Address
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Address Line | 158 N ANITA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90049-2720
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Country | US
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Telephone | 310-440-0966
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | HERBERT I RAPPAPORT
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Credential | M.D.
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Telephone | 310-657-6131
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | G10471
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License Number State | CA
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