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General NPI Number Information
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NPI Number | 1730840471
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Entity Type | Organization
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Legal Business Name | MAMAL R. RAHIMI, D.D.S. INC.
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Dates
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Enumeration Date | 01/05/2022
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Last Update Date | 01/05/2022
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Provider Practice Location Address
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Address Line | 700 W PARR AVE STE J
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City | LOS GATOS
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State | CA
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Zip | 95032-1416
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Country | US
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Telephone | 408-374-3633
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Fax | 408-374-8934
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Provider Business Mailing Address
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Address Line | 700 W PARR AVE STE J
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City | LOS GATOS
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State | CA
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Zip | 95032-1416
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Country | US
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Telephone | 408-374-3633
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Fax | 408-374-8934
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Authorized Official
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Title or Position | DENTIST
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Name | DR. MAMAL R RAHIMI
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Credential | D.D.S.
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Telephone | 408-374-3633
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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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