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General NPI Number Information
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NPI Number | 1174725626
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Entity Type | Individual
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Provider Name | RAHIM RAHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2007
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 18 GRACE DR
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City | POWELL
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State | OH
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Zip | 43065-8466
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Country | US
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Telephone | 855-746-2345
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Fax |
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Provider Business Mailing Address
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Address Line | 5400 FRANTZ RD STE 250
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City | DUBLIN
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State | OH
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Zip | 43016-4144
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Country | US
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Telephone | 614-544-6161
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Fax | 614-544-6370
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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 | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 57008709
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License Number State | OH
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Taxonomy #2
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Taxonomy Code | 207LA0401X
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Taxonomy Name | Addiction Medicine (Anesthesiology) Physician
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License Number | 35.091491
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License Number State | OH
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