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General NPI Number Information
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NPI Number | 1477714996
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Entity Type | Organization
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Legal Business Name | RAAFAT MATTAR, MD, INC.
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Dates
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Enumeration Date | 06/18/2008
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 18800 DELAWARE ST STE 630
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6099
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Country | US
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Telephone | 714-521-9703
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Fax | 714-312-5864
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Provider Business Mailing Address
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Address Line | 18800 DELAWARE ST STE 630
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City | HUNTINGTON BEACH
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State | CA
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Zip | 92648-6099
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Country | US
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Telephone | 714-521-9703
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Fax | 714-312-5864
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Authorized Official
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Title or Position | OWNER
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Name | MR. RAAFAT MATTAR
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Credential | M.D.
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Telephone | 714-580-8990
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0014X
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Taxonomy Name | Interventional Pain Medicine Physician
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License Number |
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License Number State |
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