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General NPI Number Information
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NPI Number | 1104005271
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Entity Type | Organization
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Legal Business Name | RAHELE MAZAREI, D.O., A.P.C.
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Dates
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Enumeration Date | 10/25/2007
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Last Update Date | 11/14/2018
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Provider Practice Location Address
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Address Line | 3230 WARING CT SUITE D
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City | OCEANSIDE
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State | CA
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Zip | 92056-4509
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Country | US
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Telephone | 760-758-2820
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Fax | 760-758-7057
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Provider Business Mailing Address
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Address Line | 3230 WARING CT SUITE D
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City | OCEANSIDE
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State | CA
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Zip | 92056-4509
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Country | US
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Telephone | 760-758-2820
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Fax | 760-758-7057
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAHELE MAZAREI
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Credential | D.O.
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Telephone | 760-758-2820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 20A7358
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License Number State | CA
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