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General NPI Number Information
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NPI Number | 1831900257
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Entity Type | Organization
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Legal Business Name | RAFID A H FADUL M.D., P.C.
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Dates
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Enumeration Date | 01/15/2025
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Last Update Date | 01/15/2025
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Provider Practice Location Address
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Address Line | 1325 J ST STE 1550
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City | SACRAMENTO
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State | CA
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Zip | 95814-2976
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Country | US
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Telephone | 877-897-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 548 MARKET ST # 31758
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City | SAN FRANCISCO
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State | CA
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Zip | 94104-5401
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Country | US
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Telephone | 877-897-6320
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Fax |
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Authorized Official
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Title or Position | PC OWNER
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Name | RAFID FADUL
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Credential | MD
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Telephone | 202-557-5361
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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