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General NPI Number Information
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NPI Number | 1205770526
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Entity Type | Individual
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Provider Name | RAHMAT ALI
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Gender | Male
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Dates
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Enumeration Date | 04/16/2026
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Last Update Date | 04/16/2026
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Provider Practice Location Address
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Address Line | 64 ROBBINS STREET WATERBURY, CT
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City | WATERBURY
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State | CT
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Zip | 06708-2708
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Country | US
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Telephone | 203-573-6162
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Fax | 203-573-6707
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Provider Business Mailing Address
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Address Line | 263 FARMINGTON AVE
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City | FARMINGTON
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State | CT
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Zip | 06030-1921
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Country | US
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Telephone | 860-679-2147
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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 | CT
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