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General NPI Number Information
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NPI Number | 1841067907
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Entity Type | Individual
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Provider Name | RAFIK RAMY RIAD RIZK BOCTOR RPH
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Gender | Male
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Dates
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Enumeration Date | 12/08/2023
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Last Update Date | 12/08/2023
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Provider Practice Location Address
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Address Line | 132 S ANITA DR STE 210
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City | ORANGE
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State | CA
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Zip | 92868-3317
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Country | US
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Telephone | 877-778-0318
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Fax | 877-778-0399
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Provider Business Mailing Address
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Address Line | 3395 MICHELSON DR APT 1406
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City | IRVINE
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State | CA
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Zip | 92612-4445
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Country | US
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Telephone | 909-969-0406
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | RPH83587
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License Number State | CA
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 68003
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 5302415008
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License Number State | MI
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Taxonomy #4
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | PD16437
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License Number State | AR
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