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Individual
JACOB RAPHAEL
Active
Individual
JACOB RAPHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
0109542042
VA
207L00000X
Anesthesiology Physician
Primary
MD472910
PA
207LP2900X
Pain Medicine (Anesthesiology) Physician
0101247931
VA
Other
Enumeration date
02/08/2007
Last updated
09/11/2024
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