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General NPI Number Information
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NPI Number | 1912958810
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Entity Type | Individual
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Provider Name | TOM RIFAI MD
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Gender | Male
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 02/24/2025
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Provider Practice Location Address
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Address Line | 9500 EUCLID AVE # F20
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City | CLEVELAND
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State | OH
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Zip | 44195-5031
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Country | US
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Telephone | 216-444-6568
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Fax | 248-445-1656
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Provider Business Mailing Address
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Address Line | 24 FRANK LLOYD WRIGHT DR STE L-4000
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City | ANN ARBOR
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State | MI
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Zip | 48105-9484
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Country | US
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Telephone | 248-845-2120
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Fax | 248-282-5350
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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 | 132700000X
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Taxonomy Name | Dietary Manager
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License Number | 4301076062
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301076062
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License Number State | MI
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