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General NPI Number Information
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NPI Number | 1710600606
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Entity Type | Organization
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Legal Business Name | RAR DENTAL PLLC
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Dates
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Enumeration Date | 09/26/2022
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 330 S CEDAR RIDGE DR
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City | DUNCANVILLE
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State | TX
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Zip | 75116-4527
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Country | US
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Telephone | 469-490-2825
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Fax |
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Provider Business Mailing Address
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Address Line | 3216 GLENEAGLES CT
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City | PLANO
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State | TX
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Zip | 75093-5977
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Country | US
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Telephone | 469-450-4543
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. DANIAL RAHIM
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Credential | DDS
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Telephone | 469-450-4543
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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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