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General NPI Number Information
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NPI Number | 1558594648
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Entity Type | Individual
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Provider Name | ABTIN RAHIMIAN DDS
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Gender | Male
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Dates
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Enumeration Date | 08/24/2009
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Last Update Date | 01/21/2015
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Provider Practice Location Address
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Address Line | 7007 NORTH FWY SUITE #400
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City | HOUSTON
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State | TX
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Zip | 77076-1324
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Country | US
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Telephone | 713-481-9500
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Fax |
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Provider Business Mailing Address
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Address Line | 7338 MEADOWCROFT BLVD
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City | SUGAR LAND
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State | TX
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Zip | 77479-3489
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Country | US
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Telephone | 949-679-6958
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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 | 58413
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License Number State | CA
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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 | 28590
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License Number State | TX
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