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General NPI Number Information
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NPI Number | 1962411660
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Entity Type | Individual
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Provider Name | AHMED A RAHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 08/05/2006
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Last Update Date | 11/11/2021
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Provider Practice Location Address
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Address Line | 113 GAINSBOROUGH SQ STE 400
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City | CHESAPEAKE
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State | VA
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Zip | 23320-1714
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Country | US
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Telephone | 757-842-4499
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Fax | 757-842-4490
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Provider Business Mailing Address
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Address Line | PO BOX 11314
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City | BELFAST
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State | ME
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Zip | 04915-4004
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Country | US
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Telephone | 757-842-4481
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Fax | 757-312-3135
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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 | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number | 01010134852
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number | 0101034852
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License Number State | VA
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