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General NPI Number Information
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NPI Number | 1467615401
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Entity Type | Organization
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Legal Business Name | RAAFAT MOHAMMADKHANI DO PC
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Dates
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Enumeration Date | 07/09/2008
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Last Update Date | 11/23/2011
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Provider Practice Location Address
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Address Line | 6850 N DURANGO DR SUITE 308
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City | LAS VEGAS
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State | NV
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Zip | 89149-4595
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Country | US
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Telephone | 702-221-9355
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Fax | 702-221-9301
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Provider Business Mailing Address
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Address Line | 6850 N DURANGO DR SUITE 308
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City | LAS VEGAS
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State | NV
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Zip | 89149-4595
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Country | US
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Telephone | 702-221-9355
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Fax | 702-221-9301
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Authorized Official
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Title or Position | PRESIDENT
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Name | RAAFAT KHANI
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Credential | DO
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Telephone | 702-221-9355
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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 | 915
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License Number State | NV
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