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General NPI Number Information
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NPI Number | 1841592987
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Entity Type | Organization
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Legal Business Name | NABEEL RAHMAN D.D.S., P.C.
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Dates
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Enumeration Date | 11/22/2010
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Last Update Date | 11/22/2010
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Provider Practice Location Address
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Address Line | 109 GAINSBOROUGH SQ STE N
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City | CHESAPEAKE
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State | VA
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Zip | 23320-1715
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Country | US
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Telephone | 757-547-2323
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Fax | 757-549-4786
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Provider Business Mailing Address
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Address Line | 109 GAINSBOROUGH SQ STE N
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City | CHESAPEAKE
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State | VA
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Zip | 23320-1715
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Country | US
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Telephone | 757-547-2323
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Fax | 757-549-4786
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | RHONDA ROLLINS
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Credential |
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Telephone | 757-547-2323
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number | 0401007757
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License Number State | VA
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