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General NPI Number Information
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NPI Number | 1275723082
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Entity Type | Organization
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Legal Business Name | RAPHA MEDICAL CARE P.A.
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Dates
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Enumeration Date | 07/27/2007
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Last Update Date | 07/27/2007
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Provider Practice Location Address
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Address Line | 6901 MCCART AVE SUITE 200
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City | FORT WORTH
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State | TX
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Zip | 76133-6377
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Country | US
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Telephone | 817-292-2011
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Fax | 817-292-3691
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Provider Business Mailing Address
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Address Line | 6901 MCCART AVE SUITE 200
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City | FORT WORTH
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State | TX
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Zip | 76133-6377
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Country | US
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Telephone | 817-292-2011
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Fax | 817-292-3691
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. FERGUS T AKWAR
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Credential | M.D.
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Telephone | 682-551-6709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | L7638
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License Number State |
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