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General NPI Number Information
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NPI Number | 1639274038
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Entity Type | Individual
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Provider Name | RAFIK MASSOUH MD
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Gender | Male
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 11/12/2024
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Provider Practice Location Address
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Address Line | 13207 RAVENNA ROAD
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City | CHARDON
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State | OH
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Zip | 44024
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Country | US
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Telephone | 440-542-5023
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Fax |
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Provider Business Mailing Address
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Address Line | 8996 WEST HAMPTON DRIVE
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City | NORTH ROYALTON
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State | OH
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Zip | 44133
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Country | US
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Telephone | 440-877-1452
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2024005376
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License Number State | MO
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | T4973
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | ME135828
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 2024-00239
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License Number State | NC
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Taxonomy #5
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 35.072920
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License Number State | OH
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Taxonomy #6
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | T4973
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License Number State | TX
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Taxonomy #7
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | ME135828
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License Number State | FL
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Taxonomy #8
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2024005376
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License Number State | MO
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Taxonomy #9
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 2024-00239
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License Number State | NC
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Taxonomy #10
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 35.072920M
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License Number State | OH
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