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General NPI Number Information
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NPI Number | 1124002480
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Entity Type | Organization
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Legal Business Name | RAHBAR DENTISTRY PC
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Dates
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Enumeration Date | 12/01/2005
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Last Update Date | 07/11/2012
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Provider Practice Location Address
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Address Line | 133 KEARNY ST STE 204
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4805
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Country | US
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Telephone | 415-986-7100
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Fax | 415-276-6370
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Provider Business Mailing Address
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Address Line | 133 KEARNY ST STE 204
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City | SAN FRANCISCO
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State | CA
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Zip | 94108-4805
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Country | US
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Telephone | 415-986-7100
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Fax | 415-276-6370
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Authorized Official
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Title or Position | DENTIST/OWNER
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Name | DR. GELAREH RAHBAR
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Credential | D.D.S.
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Telephone | 415-986-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 42765
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License Number State | CA
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