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General NPI Number Information
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NPI Number | 1659112258
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Entity Type | Individual
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Provider Name | RAAFI ZAMAN DMD
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Gender | Male
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Dates
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Enumeration Date | 06/05/2024
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Last Update Date | 06/05/2024
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Provider Practice Location Address
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Address Line | 14019 NARCOOSSEE RD STE 135
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City | ORLANDO
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State | FL
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Zip | 32832-7162
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Country | US
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Telephone | 407-630-9754
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Fax |
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Provider Business Mailing Address
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Address Line | 11965 PIONEERS WAY APT 2306
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City | ORLANDO
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State | FL
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Zip | 32832-2874
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Country | US
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Telephone | 407-749-9103
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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 | 29029
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License Number State | FL
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