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General NPI Number Information
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NPI Number | 1699572610
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Entity Type | Organization
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Legal Business Name | RAFAAT DENTAL CORPORATION
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 02/26/2025
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Provider Practice Location Address
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Address Line | 9444 SLAUSON AVE
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City | PICO RIVERA
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State | CA
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Zip | 90660-4748
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Country | US
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Telephone | 562-656-2020
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Fax |
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Provider Business Mailing Address
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Address Line | 9444 SLAUSON AVE
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City | PICO RIVERA
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State | CA
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Zip | 90660-4748
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Country | US
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Telephone | 562-656-2020
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Fax |
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Authorized Official
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Title or Position | DENTIST
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Name | DR. AMIRREZA RAFAAT
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Credential | DDS
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Telephone | 562-656-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State |
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