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General NPI Number Information
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NPI Number | 1720136096
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Entity Type | Organization
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Legal Business Name | A. RASID MAKHDOMI, M.D.,P.C.
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Dates
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Enumeration Date | 01/05/2007
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Last Update Date | 06/24/2008
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Provider Practice Location Address
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Address Line | 2100 LEHIGH ST
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City | EASTON
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State | PA
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Zip | 18042-3830
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Country | US
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Telephone | 610-253-9854
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Fax | 610-253-2484
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Provider Business Mailing Address
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Address Line | 2100 LEHIGH ST
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City | EASTON
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State | PA
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Zip | 18042-3830
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Country | US
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Telephone | 610-253-9854
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Fax | 610-253-2484
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. A. RASHID MAKHDOMI
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Credential | M.D.
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Telephone | 610-253-9854
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | MD033411L
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License Number State | PA
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