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General NPI Number Information
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NPI Number | 1114746740
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Entity Type | Individual
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Provider Name | CHADI EL RAHI MD
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Gender | Male
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Dates
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Enumeration Date | 10/09/2024
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Last Update Date | 08/15/2025
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Provider Practice Location Address
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Address Line | 1395 CALLE SAN RAFAEL
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City | SAN JUAN
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State | PR
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Zip | 00909-2518
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Country | US
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Telephone | 787-999-7620
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Fax |
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Provider Business Mailing Address
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Address Line | 16235 SW 304TH TER
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City | HOMESTEAD
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State | FL
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Zip | 33033-4138
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Country | US
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Telephone | 904-314-2535
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number | 002079-P.A.
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License Number State | PR
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Taxonomy #2
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 17456-I
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License Number State | PR
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