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General NPI Number Information
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NPI Number | 1386713329
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Entity Type | Individual
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Provider Name | RAFIQUDDIN SYED RAHIMI M.D.
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Gender | Male
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Dates
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Enumeration Date | 11/06/2006
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 2801 BOLTON BOONE DR STE 101
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City | DESOTO
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State | TX
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Zip | 75115-2041
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Country | US
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Telephone | 773-527-9692
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Fax | 972-298-5583
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Provider Business Mailing Address
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Address Line | 2801 BOLTON BOONE DR STE 101
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City | DESOTO
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State | TX
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Zip | 75115-2041
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Country | US
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Telephone | 773-527-9692
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Fax | 972-298-5583
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 201076
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License Number State | LA
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | N5346
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207K00000X
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Taxonomy Name | Allergy & Immunology Physician
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License Number | N5346
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License Number State | TX
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