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General NPI Number Information
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NPI Number | 1952352767
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Entity Type | Individual
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Provider Name | JEFFREY T RAPP M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 04/24/2023
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Provider Practice Location Address
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Address Line | 233 PECAN PARK AVE SUITE B
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City | ALEXANDRIA
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State | LA
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Zip | 71303-3362
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Country | US
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Telephone | 318-427-8090
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Fax |
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Provider Business Mailing Address
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Address Line | 77 WOODLAND DR
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City | BOYCE
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State | LA
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Zip | 71409-6915
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Country | US
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Telephone | 318-445-7990
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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 | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | MD.09899R
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 09899R
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License Number State | LA
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