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General NPI Number Information
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NPI Number | 1972752228
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Entity Type | Individual
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Provider Name | RA'KERRY KAHLIL RAHMAN MD
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Gender | Male
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Dates
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Enumeration Date | 09/11/2008
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Last Update Date | 11/24/2020
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Provider Practice Location Address
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Address Line | 7700 MAIN ST STE 400
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City | HOUSTON
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State | TX
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Zip | 77030-4456
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Country | US
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Telephone | 346-250-2590
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Fax | 281-836-4453
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Provider Business Mailing Address
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Address Line | 1211 MARCONI ST
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City | HOUSTON
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State | TX
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Zip | 77019-4209
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Country | US
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Telephone | 646-422-9498
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Fax | 210-988-1868
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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 | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number | R1277
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License Number State | TX
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