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General NPI Number Information
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NPI Number | 1447470554
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Entity Type | Individual
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Provider Name | MAHFUZUR RAHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 04/30/2007
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Last Update Date | 10/21/2014
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Provider Practice Location Address
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Address Line | 8349 RESEDA BLVD SUITE G
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4622
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Country | US
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Telephone | 818-585-5678
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Fax | 818-775-9351
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Provider Business Mailing Address
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Address Line | 8349 RESEDA BLVD SUITE G
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City | NORTHRIDGE
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State | CA
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Zip | 91324-4622
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Country | US
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Telephone | 818-585-5678
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Fax | 818-775-9351
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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 | 207RN0300X
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Taxonomy Name | Nephrology Physician
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License Number | A116452
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License Number State | CA
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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 | A116452
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License Number State | CA
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