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General NPI Number Information
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NPI Number | 1700014529
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Entity Type | Individual
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Provider Name | RAFFI JOSEPH GHURABI DO
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Gender | Male
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Dates
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Enumeration Date | 07/01/2009
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Last Update Date | 08/26/2025
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Provider Practice Location Address
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Address Line | 7966 BEVERLY BLVD STE 200
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City | LOS ANGELES
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State | CA
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Zip | 90048-4511
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Country | US
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Telephone | 310-200-4367
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Fax |
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Provider Business Mailing Address
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Address Line | 3439 PRIMERA AVE
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City | LOS ANGELES
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State | CA
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Zip | 90068-1551
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Country | US
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Telephone | 310-200-4367
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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 | 5101018484
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RA0401X
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Taxonomy Name | Addiction Medicine (Internal Medicine) Physician
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License Number | 20A12210
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License Number State | CA
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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 | 20A12210
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License Number State | CA
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