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General NPI Number Information
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NPI Number | 1508533647
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Entity Type | Individual
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Provider Name | BECKER RAFID BAHAR AL MAYOUF D.M.D
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Gender | Male
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 9450 FAIRFAX BLVD APT 1630
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City | FAIRFAX
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State | VA
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Zip | 22031-2432
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Country | US
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Telephone | 484-655-8952
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Fax |
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Provider Business Mailing Address
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Address Line | 345 HARRISON AVE APT 462
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City | BOSTON
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State | MA
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Zip | 02118-3064
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Country | US
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Telephone | 484-655-8952
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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 | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401417474
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 17557
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License Number State | MD
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Taxonomy #3
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 10000735
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License Number State | MA
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