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General NPI Number Information
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NPI Number | 1972881571
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Entity Type | Individual
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Provider Name | MIHAELA ELENA RAPOLTI M.D.
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Gender | Female
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Dates
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Enumeration Date | 07/30/2011
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 4160 JOHN R ST STE 400
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City | DETROIT
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State | MI
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Zip | 48201-2021
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Country | US
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Telephone | 313-745-8773
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Fax |
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Provider Business Mailing Address
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Address Line | 300 RIVERFRONT DR UNIT 22I
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City | DETROIT
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State | MI
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Zip | 48226-4583
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Country | US
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Telephone | 312-288-1161
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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 | 208200000X
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Taxonomy Name | Plastic Surgery Physician
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License Number | 207235
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License Number State | NC
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 036137095
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License Number State | IL
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Taxonomy #3
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number | 4301117511
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License Number State | MI
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