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General NPI Number Information
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NPI Number | 1467512848
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Entity Type | Individual
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Provider Name | MICHAEL RAFATI MD
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Gender | Male
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Dates
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Enumeration Date | 12/08/2006
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Last Update Date | 05/17/2010
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Provider Practice Location Address
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Address Line | 3114 W SUNSET DR
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City | CARBONDALE
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State | IL
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Zip | 62901-1951
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Country | US
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Telephone | 618-549-8935
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Fax |
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Provider Business Mailing Address
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Address Line | 3114 W SUNSET DR
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City | CARBONDALE
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State | IL
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Zip | 62901-1951
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Country | US
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Telephone | 618-549-8935
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Fax |
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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 | 036-087927
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License Number State | IL
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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 | A-63955
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License Number State | CA
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35678
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License Number State | AZ
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME-94403
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 12031-R
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License Number State | LA
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Taxonomy #6
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-08480
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License Number State | RI
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Taxonomy #7
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | D-45408
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License Number State | MD
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD-8672
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License Number State | HI
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Taxonomy #9
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | MD 2006-0539
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License Number State | NM
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Taxonomy #10
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Taxonomy Code | 207P00000X
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Taxonomy Name | Emergency Medicine Physician
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License Number | 036087927
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License Number State | IL
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