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General NPI Number Information
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NPI Number | 1538760376
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Entity Type | Organization
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Legal Business Name | NIVINE EL-REFAI, DDS, MSD, INC
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Dates
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Enumeration Date | 11/06/2020
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Last Update Date | 11/06/2020
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Provider Practice Location Address
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Address Line | 3985 MEDINA RD
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City | MEDINA
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State | OH
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Zip | 44256-5968
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Country | US
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Telephone | 330-721-1350
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Fax |
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Provider Business Mailing Address
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Address Line | 3985 MEDINA RD
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City | MEDINA
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State | OH
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Zip | 44256-5968
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NIVINE EL- RAFAI
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Credential |
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Telephone | 330-721-1350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223E0200X
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Taxonomy Name | Endodontics
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License Number |
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License Number State |
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