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NPI 1497859680

NPI 1497859680 : RAHMAN & ASSOCIATES : DURHAM, NC

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General NPI Number Information
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    NPI Number           |    1497859680
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    Entity Type          |    Organization 
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    Legal Business Name  |    RAHMAN & ASSOCIATES 
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Dates
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    Enumeration Date     |    09/11/2006
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    Last Update Date     |    09/13/2013
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Provider Practice Location Address
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    Address Line         |    6208 FAYETTEVILLE RD STE 105
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27713-6286
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    Country              |    US
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    Telephone            |    919-968-0015
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    Fax                  |    919-968-9515
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Provider Business Mailing Address
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    Address Line         |    6208 FAYETTEVILLE RD STE 105
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    City                 |    DURHAM
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    State                |    NC
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    Zip                  |    27713-6286
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    Country              |    US
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    Telephone            |    919-968-0015
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    Fax                  |    919-968-9515
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    DR. FARZANA A RAHMAN 
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    Credential           |    DDS MS
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    Telephone            |    919-968-0015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    
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    License Number State |    
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Taxonomy #2
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    Taxonomy Code        |    1223X0400X
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    Taxonomy Name        |    Orthodontics and Dentofacial Orthopedics Dentistry
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    License Number       |    7515
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    License Number State |    NC
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