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General NPI Number Information
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NPI Number | 1437649639
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Entity Type | Organization
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Legal Business Name | RF DERMATOLOGY PLLC
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Dates
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Enumeration Date | 05/14/2018
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Last Update Date | 05/14/2018
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Provider Practice Location Address
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Address Line | 414 NAVARRO ST STE 520
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City | SAN ANTONIO
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State | TX
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Zip | 78205-2527
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Country | US
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Telephone | 210-901-9353
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Fax |
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Provider Business Mailing Address
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Address Line | 3988 HAMMONDS FRY
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City | EVANS
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State | GA
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Zip | 30809-8022
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHRISTY RAINEY
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Credential | MD
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Telephone | 210-323-5982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207N00000X
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Taxonomy Name | Dermatology Physician
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License Number |
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License Number State |
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