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General NPI Number Information
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NPI Number | 1114907912
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Entity Type | Individual
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Provider Name | RAFIA KHALIL MD
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Gender | Female
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Dates
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Enumeration Date | 01/18/2006
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Last Update Date | 12/14/2023
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Provider Practice Location Address
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Address Line | 1201 STONE ST STE 3
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City | PORT HURON
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State | MI
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Zip | 48060-3563
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Country | US
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Telephone | 810-985-5000
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Fax | 810-985-3700
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Provider Business Mailing Address
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Address Line | 2255 GLADES RD STE 228W
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City | BOCA RATON
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State | FL
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Zip | 33431-7391
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Country | US
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Telephone |
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Fax | 561-658-6142
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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 | 207RR0500X
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Taxonomy Name | Rheumatology Physician
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License Number | 070994
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License Number State | MI
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