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NPI 1457886012

NPI 1457886012 : RAAFAY SYED : FORT WORTH, TX

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General NPI Number Information
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    NPI Number           |    1457886012
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    Entity Type          |    Individual 
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    Provider Name        |    RAAFAY SYED
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    Gender               |    Male 
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Dates
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    Enumeration Date     |    04/20/2017
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    Last Update Date     |    08/08/2024
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Provider Practice Location Address
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    Address Line         |    800 5TH AVE STE 300 
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    City                 |    FORT WORTH
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    State                |    TX
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    Zip                  |    76104-7303
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    Country              |    US
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    Telephone            |    817-442-9300
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    2500 METROHEALTH DR 
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    City                 |    CLEVELAND
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    State                |    OH
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    Zip                  |    44109-1900
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    Country              |    US
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    Telephone            |    845-987-4470
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    Fax                  |    510-535-7313
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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        |    208100000X
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    Taxonomy Name        |    Physical Medicine & Rehabilitation Physician
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    License Number       |    V0886
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    License Number State |    TX
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Taxonomy #2
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    Taxonomy Code        |    390200000X
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    Taxonomy Name        |    Student in an Organized Health Care Education/Training Program
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    2081P2900X
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    Taxonomy Name        |    Pain Medicine (Physical Medicine & Rehabilitation) Physician
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    License Number       |    V0886
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    License Number State |    TX
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