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General NPI Number Information
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NPI Number | 1811438997
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Entity Type | Organization
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Legal Business Name | RATTNER VASCULAR MEDICAL CENTER ASC LLC
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Dates
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Enumeration Date | 03/09/2017
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 4334 CENTRAL AVE
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City | RIVERSIDE
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State | CA
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Zip | 92506-2918
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Country | US
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Telephone | 951-248-1291
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Fax | 951-992-1454
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Provider Business Mailing Address
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Address Line | PO BOX 419809
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City | BOSTON
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State | MA
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Zip | 02241-9809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DALIA DAWOUD
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Credential | M.D.
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Telephone | 951-248-1291
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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