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General NPI Number Information
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NPI Number | 1952510729
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Entity Type | Individual
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Provider Name | RACHID RYAN MACWAR M.D
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Gender | Male
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Dates
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Enumeration Date | 05/21/2007
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Last Update Date | 09/04/2024
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Provider Practice Location Address
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Address Line | 1370 E VENICE AVE STE 102
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City | VENICE
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State | FL
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Zip | 34285-9083
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Country | US
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Telephone | 941-412-0026
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Fax | 941-412-0027
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Provider Business Mailing Address
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Address Line | 1370 E VENICE AVE STE 102
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City | VENICE
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State | FL
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Zip | 34285-9083
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Country | US
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Telephone | 941-412-0026
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Fax | 941-412-0027
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 4301086793
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | P0088
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License Number State | TX
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Taxonomy #3
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | 036128441
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License Number State | IL
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Taxonomy #4
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Taxonomy Code | 207RC0000X
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Taxonomy Name | Cardiovascular Disease Physician
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License Number | ME128347
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License Number State | FL
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