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General NPI Number Information
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NPI Number | 1932580644
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Entity Type | Individual
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Provider Name | MADELINE DIANNE RIPA M.D.
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Gender | Female
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Dates
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Enumeration Date | 06/18/2015
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 3035 CLEVELAND AVE STE 100
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City | SANTA ROSA
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State | CA
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Zip | 95403-3037
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Country | US
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Telephone | 707-546-9800
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Fax | 707-899-7980
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Provider Business Mailing Address
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Address Line | 3035 CLEVELAND AVE STE 100
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City | SANTA ROSA
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State | CA
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Zip | 95403-3037
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Country | US
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Telephone | 707-546-9800
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 125067960
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 11191801-1205
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License Number State | UT
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Taxonomy #3
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | 2015019310
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License Number State | MO
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Taxonomy #4
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Taxonomy Code | 207WX0120X
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Taxonomy Name | Cornea and External Diseases Specialist Physician
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License Number | 036.151523
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License Number State | IL
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Taxonomy #5
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Taxonomy Code | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | C200556
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License Number State | CA
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