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NPI 1295811800

NPI 1295811800 : ANDREW ROBERT RAHN D.D.S. : FRESNO, CA

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General NPI Number Information
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    NPI Number           |    1295811800
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    Entity Type          |    Individual 
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    Provider Name        |    ANDREW ROBERT RAHN D.D.S.
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    10/27/2006
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    Last Update Date     |    08/05/2025
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Provider Practice Location Address
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    Address Line         |    1313 E HERNDON AVE STE 104 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-3306
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    Country              |    US
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    Telephone            |    559-435-7993
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    Fax                  |    559-435-7935
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Provider Business Mailing Address
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    Address Line         |    1313 E HERNDON AVE STE 104 
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    City                 |    FRESNO
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    State                |    CA
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    Zip                  |    93720-3306
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    Country              |    US
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    Telephone            |    559-435-7993
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    Fax                  |    559-435-7935
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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        |    1223S0112X
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    Taxonomy Name        |    Oral and Maxillofacial Surgery (Dentist)
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    License Number       |    43553
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    License Number State |    CA
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