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General NPI Number Information
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NPI Number | 1891071106
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Entity Type | Organization
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Legal Business Name | RAFAEL RAFOLS MD PA
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Dates
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Enumeration Date | 10/31/2011
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Last Update Date | 07/28/2020
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Provider Practice Location Address
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Address Line | 2009 E GRIFFIN PKWY
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City | MISSION
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State | TX
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Zip | 78572-3222
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Country | US
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Telephone | 956-600-7747
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Fax |
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Provider Business Mailing Address
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Address Line | 3113 CAPRI CT
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City | MISSION
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State | TX
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Zip | 78572-3857
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Country | US
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Telephone | 956-467-9076
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Fax | 956-585-1741
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Authorized Official
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Title or Position | SOLE MEMBER
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Name | DR. RAFAEL RAFOLS
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Credential | MD
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Telephone | 956-600-7747
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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Taxonomy #2
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | N4016
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License Number State | TX
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