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General NPI Number Information
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NPI Number | 1356667547
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Entity Type | Individual
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Provider Name | ROBBY RAHIM
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Gender | Male
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Dates
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Enumeration Date | 04/13/2010
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Last Update Date | 03/06/2025
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Provider Practice Location Address
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Address Line | 9907 DAISY CLOVER CT
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City | HOUSTON
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State | TX
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Zip | 77089-1459
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Country | US
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Telephone | 970-484-4757
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Fax |
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Provider Business Mailing Address
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Address Line | 2008 CARIBOU DR
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City | FORT COLLINS
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State | CO
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Zip | 80525-4325
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Country | US
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Telephone | 970-484-4757
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Fax | 970-484-4759
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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 | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 17662C
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License Number State | WY
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | CP1129
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License Number State | NE
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Taxonomy #3
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | CDR.0004569
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License Number State | CO
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Taxonomy #4
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | Q5909
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License Number State | TX
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