Provider Demographics
NPI:1093262651
Name:RAPAPORT, DAVID SCOT (MED)
Entity Type:Individual
Prefix:
First Name:DAVID
Middle Name:SCOT
Last Name:RAPAPORT
Suffix:
Gender:M
Credentials:MED
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:206 TALL OAKS DR UNIT F
Mailing Address - Street 2:
Mailing Address - City:WEYMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02190-3527
Mailing Address - Country:US
Mailing Address - Phone:781-413-1132
Mailing Address - Fax:781-549-8006
Practice Address - Street 1:1452 DORCHESTER AVENUE
Practice Address - Street 2:FCBL-4
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02122
Practice Address - Country:US
Practice Address - Phone:781-974-3753
Practice Address - Fax:781-549-8006
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-01
Last Update Date:2016-09-01
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No171M00000XOther Service ProvidersCase Manager/Care Coordinator
No174H00000XOther Service ProvidersHealth Educator
No175T00000XOther Service ProvidersPeer Specialist