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General NPI Number Information
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NPI Number | 1629437835
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Entity Type | Organization
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Legal Business Name | RABIN A. MARFATIA DDS, INC.
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Dates
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Enumeration Date | 02/16/2016
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Last Update Date | 03/14/2016
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Provider Practice Location Address
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Address Line | 250 E YALE LOOP SUITE 205
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City | IRVINE
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State | CA
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Zip | 92604-4697
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Country | US
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Telephone | 949-299-1111
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Fax |
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Provider Business Mailing Address
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Address Line | 1510 VOYAGER DR
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City | TUSTIN
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State | CA
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Zip | 92782-1726
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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 | PRESIDENT
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Name | DR. RABIN MARFATIA
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Credential | DDS
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Telephone | 949-533-5376
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State | CA
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