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General NPI Number Information
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NPI Number | 1346212693
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Entity Type | Individual
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Provider Name | AZIZUR RAHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 02/02/2006
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Last Update Date | 03/20/2025
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Provider Practice Location Address
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Address Line | 695 N PERRYVILLE RD
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City | ROCKFORD
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State | IL
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Zip | 61107-6225
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Country | US
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Telephone | 815-904-6011
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Fax | 815-904-6171
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Provider Business Mailing Address
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Address Line | 695 N PERRYVILLE RD STE 3
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City | ROCKFORD
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State | IL
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Zip | 61107-6225
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Country | US
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Telephone | 815-904-6011
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Fax | 815-904-6171
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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 | 207W00000X
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Taxonomy Name | Ophthalmology Physician
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License Number | O36129423
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License Number State | IL
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