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General NPI Number Information
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NPI Number | 1144617002
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Entity Type | Individual
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Provider Name | RHAMI KHORFAN
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Gender | Male
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Dates
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Enumeration Date | 04/17/2015
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 11175 CAMPUS ST STE 21111
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City | LOMA LINDA
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State | CA
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Zip | 92350-1014
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Country | US
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Telephone | 909-558-5939
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Fax |
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Provider Business Mailing Address
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Address Line | 11175 CAMPUS ST STE 21111
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City | LOMA LINDA
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State | CA
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Zip | 92350-1700
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Country | US
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Telephone | 810-210-4286
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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 | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number | A175807
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License Number State | CA
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