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General NPI Number Information
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NPI Number | 1235106154
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Entity Type | Individual
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Provider Name | NIDAL RAHAL M.D.
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Gender | Male
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Dates
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Enumeration Date | 03/01/2006
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Last Update Date | 07/01/2024
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Provider Practice Location Address
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Address Line | 7820 WALKING HORSE CIR
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City | GERMANTOWN
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State | TN
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Zip | 38138-2143
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Country | US
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Telephone | 901-279-4360
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Fax | 901-358-9010
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Provider Business Mailing Address
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Address Line | 943 WHITNEY AVE
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City | MEMPHIS
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State | TN
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Zip | 38127-7734
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Country | US
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Telephone | 901-279-4360
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Fax | 901-358-9010
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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 | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number | 40310
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License Number State | TN
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Taxonomy #2
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number | 40310
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License Number State | TN
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Taxonomy #3
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 40310
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License Number State | TN
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