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General NPI Number Information
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NPI Number | 1326891862
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Entity Type | Individual
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Provider Name | SAHM BEHNAM RAFATI
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Gender | Male
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Dates
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Enumeration Date | 04/05/2024
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Last Update Date | 07/17/2025
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Provider Practice Location Address
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Address Line | 411 4TH ST
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City | SAN RAFAEL
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State | CA
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Zip | 94901-5716
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Country | US
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Telephone | 415-448-1500
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Fax |
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Provider Business Mailing Address
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Address Line | 1222 CLAYTON ST APT 22
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City | SAN FRANCISCO
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State | CA
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Zip | 94114-1852
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Country | US
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Telephone | 408-805-6776
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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 | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 111846
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License Number State | CA
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