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General NPI Number Information
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NPI Number | 1114851334
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Entity Type | Individual
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Provider Name | RAFAY SIDDIQUI DMD
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Gender | Male
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Dates
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Enumeration Date | 06/11/2026
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Last Update Date | 06/11/2026
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Provider Practice Location Address
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Address Line | 301 UNIVERSITY BOULEVARD JOHN SEALY ANNEX
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City | GALVESTON
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State | TX
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Zip | 77555-0001
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Country | US
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Telephone | 832-632-5222
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Fax |
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Provider Business Mailing Address
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Address Line | 626 COGGINS POINT WAY
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City | SUGAR LAND
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State | TX
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Zip | 77479-2085
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Country | US
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Telephone | 281-216-5290
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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 | 390200000X
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Taxonomy Name | Student in an Organized Health Care Education/Training Program
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License Number |
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License Number State | TX
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