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General NPI Number Information
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NPI Number | 1659685568
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Entity Type | Organization
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Legal Business Name | RAFIK LATIF MD A MEDICAL CORPORATION
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Dates
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Enumeration Date | 08/03/2010
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Last Update Date | 06/26/2013
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Provider Practice Location Address
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Address Line | 18250 ROSCOE BLVD SUITE 330
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4281
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Country | US
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Telephone | 818-885-0061
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Fax | 818-885-0083
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Provider Business Mailing Address
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Address Line | 18250 ROSCOE BLVD SUITE 330
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City | NORTHRIDGE
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State | CA
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Zip | 91325-4281
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Country | US
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Telephone | 818-885-0061
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Fax | 818-885-0083
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Authorized Official
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Title or Position | PHYSICIAN/ OWNER
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Name | RAFIK LATIF
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Credential | M.D.
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Telephone | 818-885-0061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | A337264
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License Number State | CA
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